Individual provider Active NPI

Jessica Matos, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1306479399
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11006062 Issued in FL
Practice address
2120 Sarno Rd
Melbourne, FL 32935-3084
Phone
(321) 241-6800
Fax
(321) 241-6890
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 39772 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11006062 FL Primary

Addresses

Primary practice location

2120 Sarno Rd
Melbourne, FL 32935-3084

Mailing address

PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696

Other practice location 1

325 Cherokee Blvd Ste 102
Chattanooga, TN 37405-4476
Phone (832) 869-4818

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Other practice location 3

639 S Silver Springs Rd # Mo
Cape Girardeau, MO 63703-7539
Phone (832) 869-4818

Other identifiers 1

IdentifierTypeStateIssuer
APRN11006062OtherFLFL DOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, NM, MI, IN, NV, WA, CA, TX, TN, GA, OH, SC13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20220303002649 FL Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 5 organizations
I20251104003177 MO Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251106004457 NM Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251107003549 MI Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251110000818 IN Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 3 organizations
I20251112004327 NV Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251113002271 WA Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251113004066 CA Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251114000278 TX Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251118000584 TN Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251118004465 GA Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251120001515 OH Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 2 organizations
I20251220000791 SC Practitioner - Nurse Practitioner 2668866831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Psychplus Associates of California PCGroup PAC ID 4082135868, 17 clinicians
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

1301 Shiloh Rd NW
Suite 1810
Kennesaw, GA 30144-7171
Phone 8328694818235

1303 SE Broad St
Murfreesboro, TN 37130-5652
Phone (832) 869-4818

1610 R St
Suite 300
Sacramento, CA 95811-6683
Phone (832) 869-4818

302 University Pkwy
Aiken, SC 29801-6302
Phone 8328694818235

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

4000 Miamisburg
Centerville Road
Miamisburg, OH 45342
Phone (832) 869-4818

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

4825 Ep True Pkwy
Suite 103
West Des Moines, IA 50265-6403
Phone 8328694818235

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006062FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC CurrentSince Oct 7, 2024 Accepting new patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Nov 4, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Psychplus Associates of California PC CurrentSince Oct 31, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Aug 30, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Aug 30, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Nov 4, 2025 Accepting new patients
Psychplus Medical Associates of California PC CurrentSince Oct 31, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Sep 16, 2024 Accepting new patients

Locations (25 of 47)

3095 Telegraph Ave
Berkeley, CA 94705
Phone (510) 495-0772

2677 Zoe Ave
Ste 120
Huntington Pk, CA 90255
Phone (323) 589-1902

1610 R St
Ste 300
Sacramento, CA 95811
Phone (510) 715-1242

455 Silicon Valley Blvd
San Jose, CA 95138
Phone (408) 819-7310

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

8700 N Kendall Dr
Ste 218
Miami, FL 33176
Phone (305) 598-7001

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

4825 Ep True Pkwy
Ste 103
West Des Moines, IA 50265
Phone (515) 225-4809

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070

5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1306479399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021137",
            "telephone_number": "321-952-9696",
            "fax_number": "321-952-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353084",
            "telephone_number": "321-241-6800",
            "fax_number": "321-241-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Cherokee Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374054476",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-993-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 S Silver Springs Rd # Mo",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637037539",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JESSICA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "39772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DOH",
            "identifier": "APRN11006062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.