MATTHEW J PETTIT (APRN) – Nurse Practitioner, NPI 1609115534

MATTHEW J PETTIT (APRN) is a healthcare provider. based in Temple terrace, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9262459 (FL). The NPI Number for MATTHEW J PETTIT (APRN) is 1609115534

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J PETTIT (APRN)
NPI
1609115534
Phone
(813) 871-8200
Address
12470 TELECOM DR STE 300W
Enumeration Date
13 February 2013
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139880033
Graduation Year
2012 (14 years ago)
PAC ID
6305091372
Group Practice PAC ID
8729341847
Professional Enrollment ID
I20130222000225
Address ID
FL336174012TA5121XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MATTHEW J PETTIT (APRN)

  • 12470 TELECOM DR STE 300W

    TEMPLE TERRACE, FL 336370904

    Phone: (813) 871-8200

    Fax: (813) 357-5501

    Type: Mailing

  • 3225 S MACDILL AVE STE 129-300

    TAMPA, FL 336298171

    Phone: (813) 441-6803

    Fax: (813) 524-6352

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($128).

Total Amount

$128

General + Research + Ownership

Payments

1

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
JAZZ PHARMACEUTICALS INC.$128
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130222000225INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes953405$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes687141$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes468268$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes203203$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9696$0
View full utilization report →

Insurance plans in this area (ZIP 33637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729341847View full group profile
NameSpecialtyState
Nurse PractitionerFL
N E U R O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW J PETTIT (APRN)?
Save NPI 1609115534 if you need a stable reference for MATTHEW J PETTIT (APRN).
Is MATTHEW J PETTIT (APRN) active in the national directory?
MATTHEW J PETTIT (APRN)'s public NPI profile is in an active state.
What field does MATTHEW J PETTIT (APRN) work in?
You can think of MATTHEW J PETTIT (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MATTHEW J PETTIT (APRN) practice in Florida?
You will see Temple Terrace, Florida on file for MATTHEW J PETTIT (APRN) alongside any extra practice locations.
Is MATTHEW J PETTIT (APRN) a real provider?
This page reflects official NPPES data for NPI 1609115534. Always confirm identity and privileges with the practice and licensing boards.

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