MARJORIE MATHENY FNP-C
Accepted Insurance for NPI 1679110316
Nurse Practitioner in Jacksonville, FL
Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
90.58/100
CMS Quality Rating
Does Marjorie Matheny take my insurance?
Ambetter Health includes Marjorie Matheny in 27 Florida plans sold on HealthCare.gov for 2026. The same insurer also lists Marjorie Matheny in Alabama, Georgia and Texas.
InsurerAmbetter Health 27 plans
Also listed inAlabama, Georgia and Texas
Call before you book: insurer directories can be out of date, so call the office at (904) 493-3333 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.
No plans match your search or filters.
Florida plans 27 plans · 45 plan IDs
Plans sold to Florida residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.
Ambetter Health
Premier network · 20 plans · Preferred tier
Everyday GoldHMOGold$80049004FL0010010
Everyday Gold + Vision + Adult DentalHMOGold$80049004FL0020009
Complete GoldHMOGold$1,45049004FL0010011
Complete Gold + Vision + Adult DentalHMOGold$1,45049004FL0020010
Standard GoldHMOGold$2,00049004FL0010013
Standard Gold + Vision + Adult DentalHMOGold$2,00049004FL0020012
Enhanced Diabetes Care Silver with $0 Drug OptionsHMOSilver$5,00049004FL0010009
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,00049004FL0020008
Standard SilverHMOSilver$6,00049004FL0010006
Standard Silver + Vision + Adult DentalHMOSilver$6,00049004FL0020027
Focused SilverHMOSilver$6,30049004FL0010007
Focused Silver + Vision + Adult DentalHMOSilver$6,30049004FL0020006
Clarity SilverHMOSilver$8,00049004FL0010031
Thrive SilverHMOSilver$8,00049004FL0010032
Elite BronzeHMOExpanded Bronze$049004FL0010004
Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$049004FL0020004
Standard Expanded BronzeHMOExpanded Bronze$7,50049004FL0010001
Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50049004FL0020001
Everyday BronzeHMOExpanded Bronze$8,45049004FL0010002
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45049004FL0020002
Value network · 7 plans · Preferred tier
Complete VALUE GoldHMOGold$1,45086382FL0050010
Standard Gold VALUEHMOGold$2,00086382FL0050019
Standard Silver VALUEHMOSilver$6,00086382FL0050018
Focused VALUE SilverHMOSilver$6,30086382FL0050009
Clarity VALUE SilverHMOSilver$8,00086382FL0050014
Elite VALUE BronzeHMOExpanded Bronze$086382FL0050005
Standard Expanded Bronze VALUEHMOExpanded Bronze$7,50086382FL0050017
Also listed in other states 49 plans · 61 plan IDs · 3 states
Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.
Ambetter Health · Georgia
Elite Gold HMOHMOGold$070893GA0010074
Elite Gold HMO + Vision + Adult DentalHMOGold$070893GA0030075
Everyday Gold HMOHMOGold$80070893GA0010071
Everyday Gold HMO + Vision + Adult DentalHMOGold$80070893GA0030071
Clear Gold HMOHMOGold$1,20070893GA0010073
Clear Gold HMO + Vision + Adult DentalHMOGold$1,20070893GA0030074
Complete Gold HMOHMOGold$1,45070893GA0010020
Complete Gold HMO + Vision + Adult DentalHMOGold$1,45070893GA0030020
Standard Gold HMOHMOGold$2,00070893GA0010078
Standard Gold HMO + Vision + Adult DentalHMOGold$2,00070893GA0030078
Complete Silver HMOHMOSilver$5,95070893GA0010017
Complete Silver HMO + Vision + Adult DentalHMOSilver$5,95070893GA0030017
Standard Silver HMOHMOSilver$6,00070893GA0010077
Standard Silver HMO + Vision + Adult DentalHMOSilver$6,00070893GA0030077
Focused Silver HMOHMOSilver$6,30070893GA0010070
Focused Silver HMO + Vision + Adult DentalHMOSilver$6,30070893GA0030070
Clear Silver HMO with $0 Insulin OptionsHMOSilver$7,00070893GA0010068
Clear Bronze HMOHMOBronze$9,00070893GA0010006
Clear Bronze HMO + Vision + Adult DentalHMOBronze$9,00070893GA0030019
Choice Bronze HSA HMOHMOExpanded Bronze$7,25070893GA0010051
Choice Bronze HSA HMO + Vision + Adult DentalHMOExpanded Bronze$7,25070893GA0030051
Standard Expanded Bronze HMOHMOExpanded Bronze$7,50070893GA0010076
Standard Expanded Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$7,50070893GA0030076
Everyday Bronze HMOHMOExpanded Bronze$8,45070893GA0010064
Everyday Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$8,45070893GA0030064
Ambetter Health · Alabama
Elite GoldEPOGold$053932AL0100016
Elite Gold + Vision + Adult DentalEPOGold$053932AL0110015
Complete GoldEPOGold$1,45053932AL0100015
Complete Gold + Vision + Adult DentalEPOGold$1,45053932AL0110010
Standard GoldEPOGold$2,00053932AL0100013
Standard Gold + Vision + Adult DentalEPOGold$2,00053932AL0110013
Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00053932AL0100018
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00053932AL0110018
Standard SilverEPOSilver$6,00053932AL0100012
Standard Silver + Vision + Adult DentalEPOSilver$6,00053932AL0110017
Focused SilverEPOSilver$6,30053932AL0100005
Focused Silver + Vision + Adult DentalEPOSilver$6,30053932AL0110005
Elite BronzeEPOExpanded Bronze$053932AL0100014
Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$053932AL0110014
Standard Expanded BronzeEPOExpanded Bronze$7,50053932AL0100011
Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50053932AL0110011
Everyday BronzeEPOExpanded Bronze$8,45053932AL0100003
Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45053932AL0110003
Ambetter Health · Texas
Complete VALUE GoldHMOGold$1,45087226TX0060013
Standard Gold VALUEHMOGold$2,00087226TX0060012
Standard Silver VALUEHMOSilver$6,00087226TX0060011
Standard Silver VALUE + Vision + Adult DentalHMOSilver$6,00087226TX0120005
Focused VALUE SilverHMOSilver$6,30087226TX0060009
Focused VALUE Silver + Vision + Adult DentalHMOSilver$6,30087226TX0120001
Questions about Marjorie Matheny’s insurance
Does Marjorie Matheny take Ambetter Health?
For Florida Marketplace plans, yes: Ambetter Health includes Marjorie Matheny in 27 plans for 2026. Call the office at (904) 493-3333 to confirm your plan before booking.
Is Marjorie Matheny accepting new patients?
The insurers that list Marjorie Matheny report that Marjorie Matheny is accepting new patients. Call the office at (904) 493-3333 to confirm your plan before booking.
Do I need a referral to see Marjorie Matheny?
It depends on the plan: 7 of 27 Florida plans require a specialist referral.
Does Marjorie Matheny accept Medicare?
Yes. CMS files show Marjorie Matheny accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | Ambetter Health: Oct 14, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2026 |
| CMS state-based exchange public use files | Plan details for states that run their own exchange, here Georgia. No document links. | Plan year 2026, Jun 3, 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
