Individual provider Active NPI

Jennifer Maria Matus, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1871323394
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
881701 Issued in NV
Practice address
5578 Longley LN
Reno, NV 89511-1825
Phone
(775) 284-8650
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 881701 NV Primary

Addresses

Primary practice location

5578 Longley LN
Reno, NV 89511-1825

Mailing address

1350 Petar Dr
Gardnerville, NV 89410-5865
Phone (775) 720-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20241008001779 NV Practitioner - Nurse Practitioner 1951832492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denis G Patterson D O P CGroup PAC ID 7012060528, 6 clinicians

Practice addresses (Care Compare)

5578 Longley LN
Reno, NV 89511-1825
Phone (775) 284-8650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
881701NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denis G Patterson D O P C CurrentSince Oct 1, 2024 Accepting new patients

Locations

1470 Medical Pkwy
Ste 240
Carson City, NV 89703
Phone (775) 323-6100

2874 N Carson St
Ste 220
Carson City, NV 89706

5578 Longley Ln
Reno, NV 89511

2385 E Prater Way
Ste 204
Sparks, NV 89434
Phone (775) 845-8650

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1871323394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PETAR DR",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105865",
            "telephone_number": "775-720-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUS",
        "first_name": "JENNIFER",
        "middle_name": "MARIA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "881701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.