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MARY GRACE MATIN FNP-C
NPI 1427779297
Nurse Practitioner in Costa Mesa, CA

Active since September 08, 2022PECOS Enrolled
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626(888) 789-9585(562) 803-4500 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Grace Matin Fnp-c NPPES

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

MARY GRACE MATIN FNP-C (NPI 1427779297) is an individual nurse practitioner in Costa Mesa, California, licensed in California (95021844) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427779297
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY GRACE MATINCredential: FNP-C
Location Address3090 BRISTOL ST STE 200Costa Mesa, CA 92626-3061
Mailing Address3090 Bristol St Ste 200Costa Mesa, CA 92626-3061 · (888) 789-9585 · Fax (562) 803-4500
Phone(888) 789-9585
Fax(562) 803-4500
Sole ProprietorNo
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1427779297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95021844
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3090 BRISTOL ST STE 200, Costa Mesa, CA 92626
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Grace Matin Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mary Grace Matin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Careconnectmd Ca PC
Same address
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
NPI 1366063125 (888) 789-9585
Gn Medical Associates, Inc.
Same address
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1275576522 (888) 789-9585

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 92626 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DR. SHELLEY H HAN M.D.
Internal Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
IMAN GUIRGIS
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
SOWMYA KRISHNAN NP
Nurse Practitioner (Gerontology)
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
MS. MARJORIE M. CHAN NP
Nurse Practitioner
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
ORLANDO A COLLADO JR. MD
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CPA HEALTH GROUP INC.
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CARE PARTNERS OHIO MEDICAL CORPORATION
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
GN MEDICAL ASSOCIATES, INC.
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585

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 Mary Grace Matin's NPI number?

The NPI number for Mary Grace Matin is 1427779297. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Mary Grace Matin located?

Mary Grace Matin practices at 3090 Bristol St Ste 200, Costa Mesa, CA 92626. The listed phone number is (888) 789-9585.

What is Mary Grace Matin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Grace Matin enrolled in Medicare?

Yes. Mary Grace Matin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Grace Matin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grace Matin reassigns Medicare benefits to 2 organizations: Careconnectmd Ca PC (Costa Mesa, CA) and Gn Medical Associates, Inc. (Costa Mesa, CA). 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 Mary Grace Matin'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 Mary Grace Matin was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.