MS. ABIMBOLA ADENIKE MATTI CNP
NPI 1386931178
Nurse Practitioner - Adult Health in Minneapolis, MN
About Ms. Abimbola Adenike Matti Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ABIMBOLA ADENIKE MATTI CNP (NPI 1386931178) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (A1209274) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Abimbola Adenike Matti Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Abimbola Matti reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskegon, MI 49445
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Maine enrollment
- 75 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 166 clinicians in this Medicare group
Kennebunk, ME 04043
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Southern Maine Health Care
- 253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Abimbola Matti's NPI number?
The NPI number for Abimbola Matti is 1386931178. It was assigned to this individual provider in the NPPES registry on June 30, 2011.
Where is Abimbola Matti located?
Abimbola Matti practices at 732 E Lake St Pain Relief Center Of Minnesota, Minneapolis, MN 55407. The listed phone number is (612) 516-3737.
What is Abimbola Matti's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Abimbola Matti enrolled in Medicare?
Yes. Abimbola Matti is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Abimbola Matti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Matti reassigns Medicare benefits to 6 organizations: Spectrum Health Primary Care Partners (Muskegon, MI), Lakeland Medical Practices (Saint Joseph, MI), Kingsford Physician Services, LLC (Pulaski, VA), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. Each 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 Abimbola Matti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Abimbola Matti was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Ms. Abimbola Adenike Matti, CNP · NPI 1386931178
Adult Health physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1386931178 (Entity type: Individual)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A1209274 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 732 E LAKE ST, PAIN RELIEF CENTER OF MINNESOTA, Minneapolis, MN 55407-1547
- **Phone:** (612) 516-3737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1386194538, Muskegon, MI); Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI); Kingsford Physician Services, LLC (NPI 1871088526, Pulaski, VA); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1386931178) · Data from the CMS NPPES public registry.