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MADISON NICOLE MATELLO PA-C
NPI 1114793783
Physician Assistant - Medical in Philadelphia, PA

Active since November 27, 2023PECOS Enrolled
1080 N DELAWARE AVE STE 800, PHILADELPHIA, PA 19125(267) 463-5800 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Nicole Matello Pa-c NPPES

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

MADISON NICOLE MATELLO PA-C (NPI 1114793783) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA065194) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114793783
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADISON NICOLE MATELLOCredential: PA-C
Location Address1080 N DELAWARE AVE STE 800Philadelphia, PA 19125-4338
Mailing Address1080 N Delaware Ave Ste 800Philadelphia, PA 19125-4338
Phone(267) 463-5800
Sole ProprietorYes
Enumeration DateNovember 27, 2023
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1114793783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065194
1080 N DELAWARE AVE STE 800, Philadelphia, PA 19125
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Nicole Matello Pa-c 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.

Other Providers at the Same Location NPPES 17

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

MRS. NAJA RENEE MOUZON CRNP
Nurse Practitioner (Family)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
AVIGAD FELDMAN NP-C
Nurse Practitioner (Primary Care)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
DEBORAH WILLIAMS-SIMMONS DNP
Nurse Practitioner (Family)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
DR. TINA AHMADINEJAD M.D.
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
DR. ANNIE KOU CHOW M.D.
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
ABSOLUTECARE OF PHILADELPHIA, LLC
Clinic/Center (Primary Care)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
DR. NICHOLAS GALANAKIS PHARMD, AE-C, AAHIVP
Pharmacist
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800
KELLY MARGUERITE MISKILL CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Philadelphia County (267) 463-5800

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 Madison Matello's NPI number?

The NPI number for Madison Matello is 1114793783. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Madison Matello located?

Madison Matello practices at 1080 N Delaware Ave Ste 800, Philadelphia, PA 19125. The listed phone number is (267) 463-5800.

What is Madison Matello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madison Matello enrolled in Medicare?

Yes. Madison Matello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Matello was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.