KATHERINE MATOS NP
NPI 1609465459
Nurse Practitioner - Family in Lake Mary, FL

Active since January 15, 2021PECOS Enrolled
1355 S INTERNATIONAL PKWY STE 2451, LAKE MARY, FL 32746(407) 250-3290(407) 250-2922 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Matos Np NPPES

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

KATHERINE MATOS NP (NPI 1609465459) is an individual family provider in Lake Mary, Florida, licensed in Florida (APRN11007204) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609465459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MATOSCredential: NP
Location Address1355 S INTERNATIONAL PKWY STE 2451Lake Mary, FL 32746-1696
Mailing Address2644 Bullion LoopSanford, FL 32771-5804 · (484) 358-1634
Fax(407) 250-2922
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1609465459 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 FL · APRN11007204
1355 S INTERNATIONAL PKWY STE 2451, Lake Mary, FL 32746

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Matos Np 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 Reassignment

Medicare enrollment records show Katherine Matos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
1355 S INTERNATIONAL PKWY, SUITE 2451
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 2 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 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Katherine Matos's NPI number?

The NPI number for Katherine Matos is 1609465459. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Katherine Matos located?

Katherine Matos practices at 1355 S International Pkwy Ste 2451, Lake Mary, FL 32746. The listed phone number is (407) 250-3290.

What is Katherine Matos's specialty?

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

Is Katherine Matos enrolled in Medicare?

Yes. Katherine Matos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Matos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Matos reassigns Medicare benefits to Neurology & Neurodiagnostics LLC (Lake Mary, FL). The 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 Katherine Matos'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 Katherine Matos was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.