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ANASTASIA NANYONGO MATUTE
NPI 1669932976
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since March 22, 2019PECOS Enrolled
2100 VIRGINIA ST, GRAND PRAIRIE, TX 75051(405) 436-1909 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2024, Mar 22, 2019 (2 updates tracked since 2019).

About Anastasia Nanyongo Matute NPPES

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

ANASTASIA NANYONGO MATUTE (NPI 1669932976) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (1156040) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669932976
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANASTASIA NANYONGO MATUTE
Location Address2100 VIRGINIA STGrand Prairie, TX 75051-3796
Mailing Address2100 Virginia StGrand Prairie, TX 75051-3796 · (405) 436-1909
Phone(405) 436-1909
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 13, 20242 updates tracked since enumeration
NPPES CertifiedOctober 13, 2024
✔ NPI 1669932976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1156040
Also ListedRegistered NurseTaxonomy 163W00000X · License 904608 (TX)
2100 VIRGINIA ST, Grand Prairie, TX 75051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anastasia Nanyongo Matute 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 Anastasia Matute reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedar Crest Clinic
119 mi
Mental Health (Including Community Mental Health Center)
1505 8TH ST
Wichita Falls, TX 76301
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1083384424 (940) 322-3171

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 75051 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

DR. FRED ARNOLD STERNBERG D.P.M.
Podiatrist
2100 VIRGINIA ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 264-3431
TEXAS PHYSICIANS PRIMARY CARE, PLLC
Family Medicine
2100 VIRGINIA ST, SUITE G
GRAND PRAIRIE, TX 75051
Dallas County (972) 264-2331
ROBERT BRANDON YOCOM PTA
Physical Therapy Assistant
2100 VIRGINIA ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 992-0190

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 Anastasia Matute's NPI number?

The NPI number for Anastasia Matute is 1669932976. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Anastasia Matute located?

Anastasia Matute practices at 2100 Virginia St, Grand Prairie, TX 75051. The listed phone number is (405) 436-1909.

What is Anastasia Matute's specialty?

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

Is Anastasia Matute enrolled in Medicare?

Yes. Anastasia Matute is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anastasia Matute's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anastasia Matute reassigns Medicare benefits to Cedar Crest Clinic (Wichita Falls, TX). 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 Anastasia Matute's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anastasia Matute accept?

Health plans from Cigna Healthcare list Anastasia Matute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anastasia Matute was last updated on October 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.