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BARBARA MATOS APRN
NPI 1326766197
Nurse Practitioner - Family in Miami, FL

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment
11440 N KENDALL DRIVE, SUITE 306, MIAMI, FL 33176(305) 402-4563(305) 918-1077 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Nov 6, 2024, Sep 10, 2024 and 2 more (5 updates tracked since 2022).

About Barbara Matos Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARBARA MATOS APRN (NPI 1326766197) is an individual family provider in Miami, Florida, licensed in Florida (APRN11021567) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326766197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA MATOSCredential: APRN
Location Address11440 N KENDALL DRIVE, SUITE 306Miami, FL 33176-1025
Mailing Address5101 Sw 8th Street, Suite 200Coral Gables, FL 33134-2442 · (305) 359-5037 · Fax (786) 509-5544
Phone(305) 402-4563
Fax(305) 918-1077
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2022
Last NPPES UpdateFebruary 6, 20255 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1326766197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN11021567✔ Licensed in FL · F08220664
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9394475 (FL)
11440 N KENDALL DRIVE, Miami, FL 33176
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara Matos Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648656686
PECOS Enrollment IDI20221014000632
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Barbara Matos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastromed, LLC
6.6 mi
Gastroenterology
5101 SW 8TH STREET, SUITE 200
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1538491063 (305) 262-6060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL G VALLADARES DO
Internal Medicine (Gastroenterology)
11440 N KENDALL DRIVE, SUITE 306
MIAMI, FL 33176
Miami-Dade County (305) 402-4563
MARILYN DELLAGLORIA ARNP
Clinical Nurse Specialist (Psychiatric/Mental Health)
11440 N KENDALL DRIVE, SUITE 208
MIAMI, FL 33176
Miami-Dade County (888) 852-6672
DR. KARAN CHAWLA MD
Internal Medicine (Gastroenterology)
11440 N KENDALL DRIVE, SUITE 306
MIAMI, FL 33176
Miami-Dade County (305) 402-4563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Matos's NPI number?

The NPI number for Barbara Matos is 1326766197. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Barbara Matos located?

Barbara Matos practices at 11440 N Kendall Drive Suite 306, Miami, FL 33176. The listed phone number is (305) 402-4563.

What is Barbara Matos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Barbara Matos enrolled in Medicare?

Yes. Barbara Matos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Barbara Matos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Matos reassigns Medicare benefits to Gastromed, LLC (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Matos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Matos accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Barbara Matos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barbara Matos was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.