MRS. ALICJA MATUSIAK LISW-S, CNP - NPI 1174757678 - Nurse Practitioner in Columbus, OH

Q: What is Alicja Matusiak's NPI number?

The NPI number for Alicja Matusiak is 1174757678. It was assigned to this individual provider in the NPPES registry on May 12, 2009. The provider is also known as Alicja Griffith.

Q: What is Alicja Matusiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Alicja Matusiak was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Alicja Matusiak Lisw-s, Cnp NPPES

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

MRS. ALICJA MATUSIAK LISW-S, CNP (NPI 1174757678) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.16032) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174757678

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. ALICJA MATUSIAKCredential: LISW-S, CNP

Location Address4770 INDIANOLA AVE STE 107Columbus, OH 43214-1862

Mailing Address4770 Indianola Ave Ste 107Columbus, OH 43214-1862 · (614) 371-2303 · Fax (800) 905-9950

Phone(614) 371-2303

Fax(800) 905-9950

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 12, 2009

Last NPPES UpdateApril 8, 20256 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1174757678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OH · APRN.CNP.16032✔ Licensed in OH · COA.16032-NP

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 0800345 (OH)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 359101 (OH)

4770 INDIANOLA AVE STE 107, Columbus, OH 43214

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Other Names 1

Former Name (1)Alicja Griffith

Other Identifiers 1

Medicaid0116587OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Mrs. Alicja Matusiak Lisw-s, Cnp 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 ID1153469978

PECOS Enrollment IDI20200428000775

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Other Providers at the Same Location NPPES 13

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

AVERY DAWN SUNSHINE

Case Manager/Care Coordinator