Individual provider Active NPI

Rebekah Rachel Matos, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942302856
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124368 Issued in TX
Practice address
902 Frostwood Dr
Suite 210
Houston, TX 77024-2420
Phone
(713) 464-4107
Fax
(713) 465-4522
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2917 WI
Nurse Practitioner 363L00000X AP124368 TX
Family Nurse Practitioner 363LF0000X 2917 WI
Family Nurse Practitioner 363LF0000X AP124368 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Suite 210
Houston, TX 77024-2420

Mailing address

4114 Pond Hill Rd
Suite 101
San Antonio, TX 78231-1272
Phone (210) 249-5020

Other identifiers 1

IdentifierTypeStateIssuer
363LF0000XOtherTAXONOMY

Other names 1

  • Rebekah Rachel Klarberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140205001452 TX Practitioner - Nurse Practitioner 7911001920 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

801 E Whitestone Blvd
Cedar Park, TX 78613-5028
Phone (512) 259-1964

919 E 32ND St
St David's Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Nluc PLLC CurrentSince Apr 16, 2019 Accepting new patients
Nluc PLLC CurrentSince Apr 16, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Dec 30, 2013 Accepting new patients
Emergency Associates of Central Texas PA Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Next Level MV LLC CurrentSince Apr 16, 2019 Accepting new patients
Next Level MV LLC CurrentSince Apr 16, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Dec 30, 2013 Accepting new patients
Methodist Health Centers Past Accepting new patients
Kelly J Smith MD PA Past Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

801 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 244-0766

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 11

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 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1942302856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 POND HILL RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311272",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-464-4107",
            "fax_number": "713-465-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "REBEKAH",
        "middle_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124368",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2917",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363LF0000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "KLARBERG",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.