Jennifer Lynn Matey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108982 Issued in FL

Practice address

305 Memorial Medical Pkwy
Suite 501
Daytona Beach, FL 32117-5168

Phone

(386) 615-0900

Fax

(386) 615-0902

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health of Tallahassee LLCGroup PAC ID 1658539333, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmatey71437@epicdirect.hf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health of Tallahassee LLC

  dba Surfside Urgent Care

  • Urgent Care Clinic/Center
  • Indialantic, FL
  • NPI 1952687923
  Medicare reassignment Care Compare group
• Advanced Sleep and Respiratory Institute, P.a.

  • Sleep Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1790081321
  Medicare reassignment
• Brevard Physician Associates, PLLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1598008955
  Medicare reassignment
• Advanced Heart Group PL

  dba Advanced Cardiopulmonary & Medical Consultants

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1720247984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1174992648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175168",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175168",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Lewis Massingill, D.D.S.
• Angela Marie Mastropiero, RCSWI
• Samsor Mateen, M.D.
• Theodore Frank Matejka, ARNP-BC
• Rodrigo Bleza Mateo, MD
• Nancy S Mather, ARNP-C
• Susan P. Mathew, M.D.
• Robert Mathis, ARNP
• Linda Matkovich, COTA
• Harold Matos Casano, M.D.

• Medical Physician Assistant in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.