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KIMBERLY MATTINA
NPI 1104231083
Nurse Practitioner - Acute Care in Southfield, MI

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034(248) 200-3715 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Apr 5, 2023, Nov 16, 2022 and 1 more (4 updates tracked since 2020).

About Kimberly Mattina NPPES

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

KIMBERLY MATTINA (NPI 1104231083) is an individual acute care provider in Southfield, Michigan, licensed in Michigan (4704306684) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Chesterfield.

NPPES Registry Identity

NPI1104231083
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY MATTINA
Location Address26206 W 12 MILE RD STE 105Southfield, MI 48034-1799
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450
Phone(248) 200-3715
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 30, 2014
Last NPPES UpdateSeptember 7, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1104231083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704306684
26206 W 12 MILE RD STE 105, Southfield, MI 48034
Open in Google Maps ↗

Secondary Practice Location 1

Location 153156 Cripple Creek DrChesterfield, MI 48047-5960 · Phone (248) 495-6857

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

Kimberly Mattina 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 ID4082097662
PECOS Enrollment IDI20220815001072
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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

MRS. COLLEEN MARIE VARGOVICH DNP
Nurse Practitioner (Family)
26206 W 12 MILE RD STE 105
SOUTHFIELD, MI 48034
Oakland County (248) 200-3715
ALLISON MARIE WILDEY FNP-C
Nurse Practitioner (Family)
26206 W 12 MILE RD STE 105
SOUTHFIELD, MI 48034
Oakland County (248) 200-3717

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 Kimberly Mattina's NPI number?

The NPI number for Kimberly Mattina is 1104231083. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Kimberly Mattina located?

Kimberly Mattina practices at 26206 W 12 Mile Rd Ste 105, Southfield, MI 48034. The listed phone number is (248) 200-3715.

What is Kimberly Mattina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Mattina enrolled in Medicare?

Yes. Kimberly Mattina 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 Kimberly Mattina accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Mattina 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 Kimberly Mattina affiliated with any hospitals?

According to CMS data, Kimberly Mattina is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Mattina was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.