1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLY MATSUKUMA NP
NPI 1295578359
Nurse Practitioner - Family in San Francisco, CA

Active since June 17, 2024PECOS Enrolled
6301 3RD ST, SAN FRANCISCO, CA 94124(415) 339-8813(415) 339-8814 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Nov 8, 2024, Jul 31, 2024 and 1 more (4 updates tracked since 2024).

About Carly Matsukuma Np NPPES

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

CARLY MATSUKUMA NP (NPI 1295578359) is an individual family provider in San Francisco, California, licensed in California (95031017) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1295578359
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY MATSUKUMACredential: NP
Location Address6301 3RD STSan Francisco, CA 94124-3501
Mailing Address100 Phillips DrSausalito, CA 94965-1172 · (415) 339-8813 · Fax (415) 339-8814
Phone(415) 339-8813
Fax(415) 339-8814
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1295578359 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 CA · 95031017
Also ListedRegistered NurseTaxonomy 163W00000X · License 95296515 (CA)
6301 3RD ST, San Francisco, CA 94124
Open in Google Maps ↗

Secondary Practice Location 1

Location 152 Dore StSan Francisco, CA 94103-3828 · Phone (415) 861-0828

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Matsukuma Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Matsukuma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marin City Health And Wellness Center
12 mi
Federally Qualified Health Center (FQHC)
100 PHILLIPS DR
Sausalito, CA 94965
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1902681489 (415) 339-8813

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 94124 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 2

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

MARIN CITY HEALTH AND WELLNESS CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
6301 3RD ST
SAN FRANCISCO, CA 94124
San Francisco County (415) 339-8813
COLIN SPAKE FNP
Nurse Practitioner (Family)
6301 3RD ST
SAN FRANCISCO, CA 94124
San Francisco County (415) 339-8813

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 Carly Matsukuma's NPI number?

The NPI number for Carly Matsukuma is 1295578359. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Carly Matsukuma located?

Carly Matsukuma practices at 6301 3rd St, San Francisco, CA 94124. The listed phone number is (415) 339-8813.

What is Carly Matsukuma's specialty?

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

Is Carly Matsukuma enrolled in Medicare?

Yes. Carly Matsukuma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Matsukuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Matsukuma reassigns Medicare benefits to Marin City Health And Wellness Center (Sausalito, CA). 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 Carly Matsukuma'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 Carly Matsukuma was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.