TRACY K MATALON (MSN, FNP) – Acute Care Nurse Practitioner, NPI 1174707442
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for TRACY K MATALON (MSN, FNP)
3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 367-5189
Fax: (208) 361-5180
Type: Location
Saint John's Regional Medical Center, 1600, North Rose Avenue, Oxnard, Ventura County, California, 93030, United States
OXNARD, CA 930303722
Phone: (805) 988-2663
Type: Mailing
215 W JANSS RD
THOUSAND OAKS, CA 913601847
Phone: (805) 370-4435
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Boston Scientific Corporation ($118).
Total Amount
$118
General + Research + Ownership
Payments
2
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $118 |
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: 2008-10-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081030000565 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 64 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 24 | 24 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CT | |
| - | CA |
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