MATRIX MEDICAL PLUS – Nurse Practitioner, NPI 1376973461
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MATRIX MEDICAL PLUS
1030 SPRING VILLAS PT STE 3000
WINTER SPRINGS, FL 327086621
Phone: (407) 340-5107
Type: Location
9201 E MOUNTAIN VIEW RD STE 220
SCOTTSDALE, AZ 852585172
Phone: (480) 862-1677
Fax: (480) 718-7643
Type: Mailing
424 CHURCH ST STE 2600
NASHVILLE, TN 372192379
Phone: (877) 564-3627
Type: Location
424 CHURCH ST STE 220
NASHVILLE, TN 372192464
Phone: (877) 564-3627
Fax: (480) 718-7643
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (128 days ago).
Enrollment records
13
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20150112000448 | O | Clinic/Group Practice | NC | TBD |
| O20190729000439 | O | Clinic/Group Practice | IL | 2026-01-31 |
| O20211004002019 | O | Clinic/Group Practice | TN | TBD |
| O20211103001058 | O | Clinic/Group Practice | MA | TBD |
| O20211209000823 | O | Clinic/Group Practice | WI | TBD |
| O20220222000447 | O | Clinic/Group Practice | PA | TBD |
| O20220307000909 | O | Clinic/Group Practice | CT | TBD |
| O20220707000373 | O | Clinic/Group Practice | MI | TBD |
| O20220821000028 | O | Clinic/Group Practice | MN | TBD |
| O20221027001614 | O | Clinic/Group Practice | AR | TBD |
| O20230420002891 | O | Clinic/Group Practice | WV | TBD |
| O20230914003332 | O | Clinic/Group Practice | OR | TBD |
| O20230922002631 | O | Clinic/Group Practice | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32708)
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