DR. ELYCIA R MATUSHIN M.D.
NPI 1255698783
Family Medicine in Minneapolis, MN
About Dr. Elycia R Matushin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELYCIA R MATUSHIN M.D. (NPI 1255698783) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (56637) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2012).
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
Dr. Elycia R Matushin M.d. 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 Reassignments
4Medicare enrollment records show Elycia Matushin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55425
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55411
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 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.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MINNEAPOLIS, MN 55411
MINNEAPOLIS, MN 55411
MINNEAPOLIS, MN 55411
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 Elycia Matushin's NPI number?
The NPI number for Elycia Matushin is 1255698783. It was assigned to this individual provider in the NPPES registry on April 22, 2012.
Where is Elycia Matushin located?
Elycia Matushin practices at 1020 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 302-8200.
What is Elycia Matushin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elycia Matushin enrolled in Medicare?
Yes. Elycia Matushin 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 organizations bill Medicare for Elycia Matushin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elycia Matushin reassigns Medicare benefits to 4 organizations: Fairview Clinics (Bloomington, MN), University Of Minnesota Physicians (Minneapolis, MN), North Memorial Health Care (Robbinsdale, MN) and Fairview Health Services (Minneapolis, MN). Each 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 Elycia Matushin'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 Elycia Matushin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Elycia R Matushin, M.D. · NPI 1255698783
Family Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 22, 2012.
## Identity
- **NPI:** 1255698783 (Entity type: Individual)
- **Enumerated:** April 22, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 56637 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 W BROADWAY AVE, Minneapolis, MN 55411-2504
- **Phone:** (612) 302-8200 · **Fax:** (612) 302-8275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1134773419, Bloomington, MN); University Of Minnesota Physicians (NPI 1366589962, Minneapolis, MN); North Memorial Health Care (NPI 1285657247, Robbinsdale, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2012
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255698783) · Data from the CMS NPPES public registry.