MR. EDGAR IVAN MATAMOROS PMHNP-BC
NPI 1801308317
Nurse Practitioner - Psychiatric/Mental Health in Davie, FL

Q: What is Edgar Matamoros's NPI number?

The NPI number for Edgar Matamoros is 1801308317. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Q: What is Edgar Matamoros's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edgar Matamoros was last updated on March 19, 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.

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment

5595 S UNIVERSITY DR, DAVIE, FL 33328(954) 276-3400 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Jun 21, 2019, Oct 25, 2017 (3 updates tracked since 2017).

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About Mr. Edgar Ivan Matamoros Pmhnp-bc NPPES

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

MR. EDGAR IVAN MATAMOROS PMHNP-BC (NPI 1801308317) is an individual psychiatric/mental health provider in Davie, Florida, licensed in Florida (APRN9397926) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801308317

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. EDGAR IVAN MATAMOROSCredential: PMHNP-BC

Location Address5595 S UNIVERSITY DRDavie, FL 33328-5307

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685

Phone(954) 276-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 25, 2017

Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1801308317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN9397926

5595 S UNIVERSITY DR, Davie, FL 33328

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Other Identifiers 1

Medicaid023991800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edgar Ivan Matamoros Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012279037

PECOS Enrollment IDI20180402001648

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33328 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 14

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

SHASHTIKA GHIMIRE GURAGAIN

Nurse Practitioner (Psychiatric/Mental Health)