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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JELISSE MATOS RENTA PSY.D
NPI 1720739899
Psychologist - Clinical in Ponce, PR

Active since January 11, 2022PECOS Enrolled

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jul 7, 2025, Jan 11, 2022 (3 updates tracked since 2022).

About Dr. Jelisse Matos Renta Psy.d NPPES

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

DR. JELISSE MATOS RENTA PSY.D (NPI 1720739899) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (6671) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720739899
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JELISSE MATOS RENTACredential: PSY.D
Location AddressCALLE MAYORPonce, PR 00730
Mailing Address202 Calle PrincipeCoto Laurel, PR 00780-3211 · (787) 905-5216
Phone(787) 905-5216
Sole ProprietorYes
Enumeration DateJanuary 11, 2022
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1720739899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 6671
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 6671 (PR)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 6671 (PR)

Other Names 1

Professional Name (2)Dr. Jelisse Matos Renta Med

Other Identifiers 1

Medicaid131920PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jelisse Matos Renta Psy.d 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 Jelisse Matos Renta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

N & N Psychological Services
Mental Health (Including Community Mental Health Center)
2604 AVE LAS AMERICAS
Ponce, PR 00717
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 8 clinicians in this Medicare group
NPI 1609006576 (787) 632-7465

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 00730 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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 Jelisse Matos Renta's NPI number?

The NPI number for Jelisse Matos Renta is 1720739899. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Dr. Jelisse Matos Renta Med.

Where is Jelisse Matos Renta located?

Jelisse Matos Renta practices at Calle Mayor, Ponce, PR 00730. The listed phone number is (787) 905-5216.

What is Jelisse Matos Renta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jelisse Matos Renta enrolled in Medicare?

Yes. Jelisse Matos Renta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jelisse Matos Renta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jelisse Matos Renta reassigns Medicare benefits to N & N Psychological Services (Ponce, PR). 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 Jelisse Matos Renta'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 Jelisse Matos Renta was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.