MR. MATTHEW NEDWICKI PA-C
NPI 1134520042
Physician Assistant in Detroit, MI

Active since September 10, 2014PECOS Enrolled
4771 MICHIGAN AVE, DETROIT, MI 48210(313) 897-2600(313) 897-2424 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Matthew Nedwicki Pa-c NPPES

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

MR. MATTHEW NEDWICKI PA-C (NPI 1134520042) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601007113) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134520042
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW NEDWICKICredential: PA-C
Location Address4771 MICHIGAN AVEDetroit, MI 48210-3247
Mailing Address1416 Erickson RdBoyne City, MI 49712-9199 · (313) 618-6824
Fax(313) 897-2424
Sole ProprietorNo
Enumeration DateSeptember 10, 2014
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1134520042 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 MI · 5601007113
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.

4771 MICHIGAN AVE, Detroit, MI 48210

Secondary Practice Locations 2

Location 11619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6050 · Fax (231) 213-8749
Location 2825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-2100

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 (PECOS)

Mr. Matthew Nedwicki 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
153 services149 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
110 services107 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48210 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 8

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

Family Medicine
4771 MICHIGAN AVE
DETROIT, MI 48210
Family Medicine
4771 MICHIGAN AVE
DETROIT, MI 48210
Family Medicine
4771 MICHIGAN AVE
DETROIT, MI 48210
Physician Assistant
4771 MICHIGAN AVE
DETROIT, MI 48210
Internal Medicine (Cardiovascular Disease)
4771 MICHIGAN AVE
DETROIT, MI 48210
Physician Assistant (Medical)
4771 MICHIGAN AVE
DETROIT, MI 48210
Family Medicine
4771 MICHIGAN AVE
DETROIT, MI 48210
Physician Assistant
4771 MICHIGAN AVE
DETROIT, MI 48210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134520042, enumerated as an "individual" on September 10, 2014.

The provider is located at 4771 MICHIGAN AVE DETROIT, MI 48210 and the phone number is (313) 897-2600.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.