MRS. STACEY ANN MATAN
NPI 1144020462
Social Worker - Clinical in Berlin, CT
About Mrs. Stacey Ann Matan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY ANN MATAN (NPI 1144020462) is an individual clinical provider in Berlin, Connecticut, licensed in Connecticut (009211) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacey Ann Matan 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Matan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Hartford, CT 06107
- Reassigned Medicare billing, Connecticut enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stacey Matan's NPI number?
The NPI number for Stacey Matan is 1144020462. It was assigned to this individual provider in the NPPES registry on March 17, 2025.
Where is Stacey Matan located?
Stacey Matan practices at 132 Misty Mountain Rd, Berlin, CT 06037. The listed phone number is (203) 214-3191.
What is Stacey Matan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stacey Matan enrolled in Medicare?
Yes. Stacey Matan 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.
Which organization bills Medicare for Stacey Matan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Matan reassigns Medicare benefits to Mellahealth LLC (West Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Matan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Matan was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Mrs. Stacey Ann Matan · NPI 1144020462
Clinical provider in Berlin, Connecticut. Individual provider, active in the CMS NPPES registry since March 17, 2025.
## Identity
- **NPI:** 1144020462 (Entity type: Individual)
- **Enumerated:** March 17, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 009211 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 132 MISTY MOUNTAIN RD, Berlin, CT 06037-2748
- **Phone:** (203) 214-3191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mellahealth LLC (NPI 1477158046, West Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1144020462) · Data from the CMS NPPES public registry.