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MRS. NICOLE LYNN MATUSKA
NPI 1174962468
Nurse Practitioner - Family in Nottingham, MD

Active since June 19, 2013PECOS Enrolled
4924 CAMPBELL BLVD, NOTTINGHAM, MD 21236(443) 442-2300 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jul 25, 2022, Jan 13, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Nicole Lynn Matuska NPPES

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

MRS. NICOLE LYNN MATUSKA (NPI 1174962468) is an individual family provider in Nottingham, Maryland, licensed in Maryland (R176455) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174962468
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICOLE LYNN MATUSKA
Location Address4924 CAMPBELL BLVDNottingham, MD 21236-5908
Mailing Address1619 Bimini DrBel Air, MD 21015-1796 · (410) 459-9812
Phone(443) 442-2300
Sole ProprietorNo
Enumeration DateJune 19, 2013
Last NPPES UpdateOctober 5, 20224 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1174962468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R176455
Also ListedRegistered NurseTaxonomy 163W00000X · License R176455 (MD)
4924 CAMPBELL BLVD, Nottingham, MD 21236
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15230 Campbell BlvdBaltimore, MD 21236-4983 · Phone (410) 933-9632 · Fax (410) 933-0190
Location 29901 York RdCockeysville, MD 21030-3407 · Phone (410) 683-6517

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Lynn Matuska 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

MISS DANIELLE R. NORTH PA-C
Physician Assistant
4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
NAOMI P CUTLER M.D.
Internal Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Baltimore County (443) 442-2300
MR. DAVID S SANDLER PAC
Physician Assistant (Medical)
4924 CAMPBELL BLVD
WHITE MARSH, MD 21236
Baltimore County (443) 442-2300
DEBRAHE K. ROWLAND AG-ACNP-BC
Nurse Practitioner (Acute Care)
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
WHITE MARSH PHARMACY
Pharmacy (Community/Retail Pharmacy)
4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236
Baltimore County (443) 384-2500
JOHNS HOPKINS UNIVERSITY
Internal Medicine
4924 CAMPBELL BLVD
BALTIMORE, MD 21236
Baltimore County (443) 442-2401
DR. TIGIST HAILU M.D.
Internal Medicine (Cardiovascular Disease)
4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236
Baltimore County (443) 442-2000
DR. HANNAH MARIE VACA DPT
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (410) 955-5000

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 Nicole Matuska's NPI number?

The NPI number for Nicole Matuska is 1174962468. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Nicole Matuska located?

Nicole Matuska practices at 4924 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (443) 442-2300.

What is Nicole Matuska's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Matuska enrolled in Medicare?

Yes. Nicole Matuska is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Matuska was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.