MATTHEW HEUSSNER DO
NPI 1104575448
Student in an Organized Health Care Education/Training Program in Rochester Hills, MI

Active since March 23, 2022PECOS Enrolled
3564 S CREEK DR, ROCHESTER HILLS, MI 48306(248) 497-4246 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Heussner Do NPPES

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

MATTHEW HEUSSNER DO (NPI 1104575448) is an individual student in an organized health care education/training program in Rochester Hills, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104575448
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW HEUSSNERCredential: DO
Location Address3564 S CREEK DRRochester Hills, MI 48306-1476
Mailing Address1 Hurley PlzFlint, MI 48503-5902 · (810) 262-9000
Sole ProprietorNo
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
NPI 1104575448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3564 S CREEK DR, Rochester Hills, MI 48306

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Heussner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Heussner's NPI number?

The NPI number for Matthew Heussner is 1104575448. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Matthew Heussner located?

Matthew Heussner practices at 3564 S Creek Dr, Rochester Hills, MI 48306. The listed phone number is (248) 497-4246.

What is Matthew Heussner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Heussner enrolled in Medicare?

Yes. Matthew Heussner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Heussner was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.