Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathilee J Matamoros

Individual provider Registered Nurse · NPI 1508128158

Kathilee J Matamoros is a Nurse Practitioner in Bethany, Oklahoma. Qualified in 2011, 15 years ago. Practices with Claremore Health Associates, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Pennsylvania.

Years since qualifying
15
Licensed in
OK, PA
In the registry since
2012
Specialties on file
4

Practice location Address checks out

6820 NW 23rd St
Bethany, OK 73008-5217
Phone: (405) 495-5154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP012283 (PA)
Registered Nurse Taxonomy 163W00000X · Licence TLRN039071 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP012283 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 90694 (OK)

Record details

NPI number1508128158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESApril 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Claremore Health Associates, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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