MR. TREVOR SAMUEL MATTARELLA FNP
NPI 1104337344
Nurse Practitioner - Family in Pigeon, MI

Q: What is Trevor Mattarella's NPI number?

The NPI number for Trevor Mattarella is 1104337344. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Q: What is Trevor Mattarella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Mattarella was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 16, 2017PECOS EnrolledAccepts Medicare Assignment

168 N CASEVILLE RD, PIGEON, MI 48755(989) 453-2141(989) 453-2559 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2021, Oct 19, 2017 (2 updates tracked since 2017).

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About Mr. Trevor Samuel Mattarella Fnp NPPES

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

MR. TREVOR SAMUEL MATTARELLA FNP (NPI 1104337344) is an individual family provider in Pigeon, Michigan, licensed in Michigan (4704285057) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Scheurer Hospital, and is a graduate of Saginaw Valley Medical College - Nlg (2017).

NPPES Registry Identity

NPI1104337344

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. TREVOR SAMUEL MATTARELLACredential: FNP

Location Address168 N CASEVILLE RDPigeon, MI 48755-9415

Mailing Address168 N Caseville RdPigeon, MI 48755-9415 · (989) 453-2141 · Fax (989) 453-2559

Phone(989) 453-2141

Fax(989) 453-2559

Sole ProprietorNo

Medical School CMSSaginaw Valley Medical College - NlgGraduated 2017

Enumeration DateOctober 16, 2017

Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration

NPPES CertifiedMarch 26, 2021

✔ NPI 1104337344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704285057

168 N CASEVILLE RD, Pigeon, MI 48755

Open in Google Maps ↗

Other Identifiers 1

Other4704285057MI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, 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

Mr. Trevor Samuel Mattarella Fnp 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 ID6507124542

PECOS Enrollment IDI20171220000582

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.

Hospital Affiliations CMS Care Compare

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

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231310

Location170 N Caseville RdPigeon, MI 48755 · Huron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48755 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$114.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

DR. LAUREY R HANSELMAN D.O.

Family Medicine