MRS. MICHELLE ANNE MATYSECK PA
NPI 1093115941
Physician Assistant in Montclair, CA

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
8891 CENTRAL AVE, MONTCLAIR, CA 91763(909) 297-3361 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Michelle Anne Matyseck Pa NPPES

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

MRS. MICHELLE ANNE MATYSECK PA (NPI 1093115941) is an individual physician assistant in Montclair, California, licensed in California (51876) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093115941
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MICHELLE ANNE MATYSECKCredential: PA
Location Address8891 CENTRAL AVEMontclair, CA 91763-1618
Mailing Address15680 Stanbrook DrLa Mirada, CA 90638-5110 · (760) 617-5017
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2014
Last NPPES UpdateSeptember 5, 2014
NPI 1093115941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 51876
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8891 CENTRAL AVE, Montclair, CA 91763

Other Names 1

Former Name (1)Michelle Anne Dietz

Accepted 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

Mrs. Michelle Anne Matyseck Pa 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 ID2466743885
PECOS Enrollment IDI20240805002847
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

Clinic/Center (Urgent Care)
8891 CENTRAL AVE
MONTCLAIR, CA 91763
Physician Assistant
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
Clinic/Center (Magnetic Resonance Imaging (MRI))
8891 CENTRAL AVE, SUITE C
MONTCLAIR, CA 91763
Clinic/Center (Urgent Care)
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
Nurse Practitioner (Family)
8891 CENTRAL AVE
MONTCLAIR, CA 91763
Emergency Medicine
8891 CENTRAL AVE
MONTCLAIR, CA 91763
Physician Assistant
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
Acupuncturist
8891 CENTRAL AVE, SUITE B
MONTCLAIR, CA 91763

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 Michelle Matyseck's NPI number?

The NPI number for Michelle Matyseck is 1093115941. It was assigned to this individual provider in the NPPES registry on August 28, 2014. The provider is also known as Michelle Anne Dietz.

Where is Michelle Matyseck located?

Michelle Matyseck practices at 8891 Central Ave, Montclair, CA 91763. The listed phone number is (909) 297-3361.

What is Michelle Matyseck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Matyseck enrolled in Medicare?

Yes. Michelle Matyseck 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 Michelle Matyseck accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Michelle Matyseck 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.

When was this NPI record last updated?

The NPPES record for Michelle Matyseck was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.