NIKKI ISIS MATUS NURSE PRACTITIONER
NPI 1063142529
Nurse Practitioner - Primary Care in Stony Brook, NY

Active since June 16, 2022PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 807-4241 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nikki Isis Matus Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKKI ISIS MATUS NURSE PRACTITIONER (NPI 1063142529) is an individual primary care provider in Stony Brook, New York, licensed in New York (310367) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063142529
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNIKKI ISIS MATUSCredential: NURSE PRACTITIONER
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address14 Allyson PlEast Setauket, NY 11733-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1063142529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NY · 310367
101 NICOLLS RD, Stony Brook, NY 11794

Other Names 1

Former Name (1)Nikki Isis Rosengart

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

Nikki Isis Matus Nurse Practitioner 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 ID6002291994
PECOS Enrollment IDI20220913001857
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Nikki Matus's NPI number?

The NPI number for Nikki Matus is 1063142529. It was assigned to this individual provider in the NPPES registry on June 16, 2022. The provider is also known as Nikki Isis Rosengart.

Where is Nikki Matus located?

Nikki Matus practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 807-4241.

What is Nikki Matus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nikki Matus enrolled in Medicare?

Yes. Nikki Matus 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.

Is Nikki Matus affiliated with any hospitals?

According to CMS data, Nikki Matus is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Nikki Matus was last updated on June 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.