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KRISTINA STARR MATLOCK
NPI 1982448015
Nurse Practitioner in Upland, CA

Active since June 24, 2024PECOS Enrolled
2440 PROSPECT DR, UPLAND, CA 91784(216) 203-8531 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristina Starr Matlock NPPES

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

KRISTINA STARR MATLOCK (NPI 1982448015) is an individual nurse practitioner in Upland, California, licensed in California (95228847) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982448015
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTINA STARR MATLOCK
Location Address2440 PROSPECT DRUpland, CA 91784-1142
Mailing Address2440 Prospect DrUpland, CA 91784-1142 · (216) 203-8531
Phone(216) 203-8531
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1982448015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95228847
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2440 PROSPECT DR, Upland, CA 91784
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Starr Matlock 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 Reassignments

2

Medicare enrollment records show Kristina Matlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
8.6 mi
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1932214228 (909) 620-7769
Central Health Plan Of California, Inc.
15 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

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 91784 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Kristina Matlock's NPI number?

The NPI number for Kristina Matlock is 1982448015. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Kristina Matlock located?

Kristina Matlock practices at 2440 Prospect Dr, Upland, CA 91784. The listed phone number is (216) 203-8531.

What is Kristina Matlock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristina Matlock enrolled in Medicare?

Yes. Kristina Matlock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristina Matlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Matlock reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Pomona, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each 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 Kristina Matlock'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 Kristina Matlock was last updated on June 24, 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.