DONOVAN MATALIE DNP, CRNA
NPI 1558930982
Nurse Anesthetist, Certified Registered in Camden, NJ

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 COOPER PLZ, CAMDEN, NJ 08103(856) 963-6770 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2025, Mar 17, 2025, Aug 15, 2024 and 2 more (5 updates tracked since 2021).

About Donovan Matalie Dnp, Crna NPPES

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

DONOVAN MATALIE DNP, CRNA (NPI 1558930982) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NJ01158600) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558930982
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDONOVAN MATALIECredential: DNP, CRNA
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateMay 20, 20255 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1558930982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NJ · 26NJ01158600✔ Licensed in PA · RN693672✔ Licensed in NY · 676117
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 COOPER PLZ, Camden, NJ 08103

Secondary Practice Locations 3

Location 194 Old Short Hills RdLivingston, NJ 07039-5672 · Phone (973) 660-9334
Location 2111 S Front StHarrisburg, PA 17101-2010 · Phone (717) 782-5118
Location 3355 Bard AveStaten Island, NY 10310-1664 · Phone (718) 818-1234

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

Donovan Matalie Dnp, Crna 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 ID2668874355
PECOS Enrollment IDI20210719001156, I20240315000931
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

8

Medicare enrollment records show Donovan Matalie reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot and Ankle Surgery
230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
Obstetrics & Gynecology
101 E OLNEY AVE, SUITE 400
Philadelphia, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
Pediatric Critical Care Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Anesthesiology
7600 RIVER RD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 clinicians in this Medicare group
Anesthesiology
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 394 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.

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103

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 Donovan Matalie's NPI number?

The NPI number for Donovan Matalie is 1558930982. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Donovan Matalie located?

Donovan Matalie practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 963-6770.

What is Donovan Matalie's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Donovan Matalie enrolled in Medicare?

Yes. Donovan Matalie 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 organizations bill Medicare for Donovan Matalie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donovan Matalie reassigns Medicare benefits to 8 organizations: Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA), Einstein Practice Plan, Inc (Philadelphia, PA), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and 3 more organizations, 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 Donovan Matalie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Donovan Matalie affiliated with any hospitals?

According to CMS data, Donovan Matalie is affiliated with Community Medical Center, Jfk Medical Center, Albert Einstein Medical Center and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Donovan Matalie was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.