MATTHEW ANTHONY HETTENBACH PMHNP
NPI 1003430729
Nurse Practitioner - Psychiatric/Mental Health in Racine, WI
About Matthew Anthony Hettenbach Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW ANTHONY HETTENBACH PMHNP (NPI 1003430729) is an individual psychiatric/mental health provider in Racine, Wisconsin, licensed in Wisconsin (10089) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Anthony Hettenbach Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Hettenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension All Saints Hospital
Acute Care Hospitals · Racine, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RACINE, WI 53403
RACINE, WI 53403
RACINE, WI 53403
RACINE, WI 53403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Hettenbach's NPI number?
The NPI number for Matthew Hettenbach is 1003430729. It was assigned to this individual provider in the NPPES registry on May 29, 2020.
Where is Matthew Hettenbach located?
Matthew Hettenbach practices at 1244 Wisconsin Ave, Racine, WI 53403. The listed phone number is (262) 687-2956.
What is Matthew Hettenbach's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matthew Hettenbach enrolled in Medicare?
Yes. Matthew Hettenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Hettenbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Hettenbach reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Hettenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Hettenbach accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Matthew Hettenbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Hettenbach affiliated with any hospitals?
According to CMS data, Matthew Hettenbach is affiliated with Ascension All Saints Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Hettenbach was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Anthony Hettenbach, PMHNP · NPI 1003430729
Psychiatric/Mental Health physician in Racine, Wisconsin. Individual provider, active in the CMS NPPES registry since May 29, 2020.
## Identity
- **NPI:** 1003430729 (Entity type: Individual)
- **Enumerated:** May 29, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10089 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1244 WISCONSIN AVE, Racine, WI 53403-1987
- **Phone:** (262) 687-2956
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003430729) · Data from the CMS NPPES public registry.