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RENE DIANDRA STEWART-MATIN
NPI 1558965665
Nurse Practitioner - Family in Bronx, NY

Active since November 30, 2020PECOS Enrolled
369 E 149TH ST FL 5, BRONX, NY 10455(718) 992-2128 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, Nov 30, 2020 (2 updates tracked since 2020).

About Rene Diandra Stewart-matin NPPES

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

RENE DIANDRA STEWART-MATIN (NPI 1558965665) is an individual family provider in Bronx, New York, licensed in New York (671064) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558965665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENE DIANDRA STEWART-MATIN
Location Address369 E 149TH ST FL 5Bronx, NY 10455-3906
Mailing Address369 E 149th StBronx, NY 10455-3906 · (845) 425-1281
Phone(718) 992-2128
Sole ProprietorYes
Enumeration DateNovember 30, 2020
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1558965665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 671064
369 E 149TH ST FL 5, Bronx, NY 10455
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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)

Rene Diandra Stewart-matin 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

3

Medicare enrollment records show Rene Stewart-matin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jds Medical Services PC
4.7 mi
Emergency Medicine
461 CUMBERLAND ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New York enrollment
  • 106 clinicians in this Medicare group
NPI 1174224653 (718) 534-0689
Molina Healthcare Of New York, Inc.
196 mi
Nurse Practitioner
5232 WITZ DR
North Syracuse, NY 13212
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1134622970 (888) 562-5442
Medical Director Services PC
203 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

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 10455 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Rene Stewart-matin's NPI number?

The NPI number for Rene Stewart-matin is 1558965665. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Rene Stewart-matin located?

Rene Stewart-matin practices at 369 E 149th St Fl 5, Bronx, NY 10455. The listed phone number is (718) 992-2128.

What is Rene Stewart-matin's specialty?

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

Is Rene Stewart-matin enrolled in Medicare?

Yes. Rene Stewart-matin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rene Stewart-matin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rene Stewart-matin reassigns Medicare benefits to 3 organizations: Jds Medical Services PC (Englewood, NJ), Molina Healthcare Of New York, Inc. (North Syracuse, NY) and Medical Director Services PC (Princess Anne, MD). 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 Rene Stewart-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 Rene Stewart-matin was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.