Matrix Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MATRIX MEDICAL LLC

Practice address

1201 Arapaho Ave Ste a
St Augustine, FL 32084-4204

Phone

(904) 829-1799

Fax

(904) 829-0549

NPI assigned

May 17, 2013

Organization subpart

Yes

Parent organization

AEROCARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Wendy Russalesi

Title

Chief Compliance Officer

Phone

(484) 246-9499

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Matrix Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Fruitland Park, FL
  • NPI 1386755163

  7315157963

  Same PAC ID
• Matrix Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Lakeland, FL
  • NPI 1396754354

  7315157963

  Same PAC ID
• Matrix Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Titusville, FL
  • NPI 1538278155

  7315157963

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Matrix Medical LLC4 organizations share this tax ID, including this one

Part of

Adapthealth West LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Matrix Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Fruitland Park, FL
  • NPI 1386755163
  NPD tax ID
• Matrix Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Lakeland, FL
  • NPI 1396754354
  NPD tax ID
• Matrix Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Titusville, FL
  • NPI 1538278155
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Aerocare Holdings LLC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1982298345

  Member Of

  NPD member
• Aerocare Holdings, Inc

  dba AeroCare

  • Oxygen Equipment & Supplies (DME)
  • Colorado Springs, CO
  • NPI 1912947383

  Member Of

  NPD member

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1932545993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARAPAHO AVE STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844204",
            "telephone_number": "904-829-1799",
            "fax_number": "904-829-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
        "enumeration_date": "2013-05-17",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015644300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Mather, APRN
• Matilda Mathias
• Jacqueline Leigh (Preferred) Mathis, REGISTERED INTERN
• Randall T Mathis, PA-C
• Matrescence Method LLC
• Megan Elizabeth Matullo
• Maureen Cohen, Licensed Mental Health Counselor
• Arthur Nephin Maxon, M.D.
• Kimora Maxwell
• Stephen Michael May

• Oxygen Equipment & Supplies (DME) in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.