MATTHEW ANTHONY HETTENBACH PMHNP
NPI 1003430729
Nurse Practitioner - Psychiatric/Mental Health in Racine, WI

Q: 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.

Q: 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.

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

1244 WISCONSIN AVE, RACINE, WI 53403(262) 687-2956 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1003430729

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMATTHEW ANTHONY HETTENBACHCredential: PMHNP

Location Address1244 WISCONSIN AVERacine, WI 53403-1987

Mailing Address2019 Saint Clair StRacine, WI 53402-4763 · (262) 995-4662

Phone(262) 687-2956

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 29, 2020

NPPES CertifiedMay 29, 2020

✔ NPI 1003430729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 10089

1244 WISCONSIN AVE, Racine, WI 53403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8325461429

PECOS Enrollment IDI20200708001796

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

75 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

60 services27 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

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, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

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.

RAYE MARIE SERRATOS APNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1244 WISCONSIN AVE
RACINE, WI 53403

Racine County (262) 627-9073

WILLIAM JAMES BJERREGAARD M.D.

Psychiatry & Neurology (Psychiatry)

1244 WISCONSIN AVE, SUITE 303
RACINE, WI 53403

Racine County (262) 635-5520

MR. TROY ROBERT GAUGER A.T.C., L.A.T.

Specialist/Technologist (Athletic Trainer)

1244 WISCONSIN AVE
RACINE, WI 53403

Racine County (262) 687-2685

STEPHANIE B HANSON LCSW

Social Worker (Clinical)

1244 WISCONSIN AVE, SUITE 303
RACINE, WI 53403

Racine County (262) 635-5520

ABIGAIL GRIFFEN PHARM.D.

Pharmacist

1244 WISCONSIN AVE
RACINE, WI 53403

Racine County (262) 687-2150

MR. ROBERT R UMHOEFER RPH

Pharmacist

1244 WISCONSIN AVE
RACINE, WI 53403

Racine County (262) 687-2150

MRS. NANCY RUTH MACZKA ADULT PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1244 WISCONSIN AVE, SUITE 300
RACINE, WI 53403

Racine County (262) 687-2219

MS. REBECCA HAMILTON RPH

Pharmacist

1244 WISCONSIN AVE
RACINE, WI 53403

Racine County (262) 687-2150

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.

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 May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.