SHANICE MARY ANN MATOS PMHNP
NPI 1427759059
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NC

Q: What is Shanice Matos's NPI number?

The NPI number for Shanice Matos is 1427759059. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Q: What is Shanice Matos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shanice Matos was last updated on May 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2023PECOS EnrolledAccepts Medicare Assignment

711 EXECUTIVE PL, FAYETTEVILLE, NC 28305(910) 615-3333(910) 615-1623 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Mar 10, 2023 (2 updates tracked since 2023).

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About Shanice Mary Ann Matos Pmhnp NPPES

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

SHANICE MARY ANN MATOS PMHNP (NPI 1427759059) is an individual psychiatric/mental health provider in Fayetteville, North Carolina, licensed in North Carolina (5017790) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427759059

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANICE MARY ANN MATOSCredential: PMHNP

Location Address711 EXECUTIVE PLFayetteville, NC 28305-5193

Mailing Address350 Royal Birkdale DrRaeford, NC 28376-8956 · (917) 251-1167

Phone(910) 615-3333

Fax(910) 615-1623

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 10, 2023

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1427759059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5017790

711 EXECUTIVE PL, Fayetteville, NC 28305

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Secondary Practice Locations 3

Location 1803 Tilghman Dr Ste 100Dunn, NC 28334-6699 · Phone (910) 615-3333

Location 23425 Melrose RdFayetteville, NC 28304-1608 · Phone (910) 615-3610

Location 3131 W Edinborough AveRaeford, NC 28376-2825 · Phone (917) 251-1167

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanice Mary Ann Matos Pmhnp 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 ID3476928714

PECOS Enrollment IDI20230418002837

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28305 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 20

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

CHERYL NICOLE FISHER FNP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)