KATHILEE J MATAMOROS – Registered Nurse, NPI 1508128158

KATHILEE J MATAMOROS is a healthcare provider. based in Bethany, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. TLRN039071 (PA). The NPI Number for KATHILEE J MATAMOROS is 1508128158

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHILEE J MATAMOROS
NPI
1508128158
Phone
(405) 495-5154
Address
6820 NW 23RD ST
Enumeration Date
11 June 2012
Last Update Date
13 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
0244481414
Professional Enrollment ID
I20140331001492
Address ID
OK730998026Yu11135CTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KATHILEE J MATAMOROS

  • 6820 NW 23RD ST

    BETHANY, OK 730085217

    Phone: (405) 495-5154

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $936.

Total Amount is formed as General ($936) + Research ($0) + Ownership ($0) = $936.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($381).

Total Amount

$936

General + Research + Ownership

Payments

36

Total payment records

General Amount

$936

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2014-03-31

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
I20140331001492INurse PractitionerOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes17096$0
36415Insertion of needle into vein for collection of blood sample14996$0
99214Established patient office or other outpatient visit, 30-39 minutes9459$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
83036Hemoglobin a1c level3017$0
View full utilization report →

Insurance plans in this area (ZIP 73008)

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Reviews

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Frequently asked questions

Is there an official ID for KATHILEE J MATAMOROS in U.S. healthcare records?
The official identifier for KATHILEE J MATAMOROS is NPI 1508128158.
Would KATHILEE J MATAMOROS appear as active to a payer?
You can treat KATHILEE J MATAMOROS as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KATHILEE J MATAMOROS?
At a glance, KATHILEE J MATAMOROS is tied to Registered Nurse. Clinical services aligned with this taxonomy classification.
Is KATHILEE J MATAMOROS located near Bethany?
KATHILEE J MATAMOROS currently maps to Bethany, Oklahoma in this extract.
Does KATHILEE J MATAMOROS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.