MALLORY NICHOLE MATUSIK FNP
NPI 1386379501
Nurse Practitioner - Family in Demotte, IN

Active since July 21, 2022PECOS Enrolled
519 N HALLECK ST, DEMOTTE, IN 46310(219) 987-7750 Get Directions Write a Review

NPPES record last updated: July 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Nichole Matusik Fnp NPPES

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

MALLORY NICHOLE MATUSIK FNP (NPI 1386379501) is an individual family provider in Demotte, Indiana, licensed in Indiana (71012811A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386379501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY NICHOLE MATUSIKCredential: FNP
Location Address519 N HALLECK STDemotte, IN 46310-9553
Mailing Address9811 W 145th AveCedar Lake, IN 46303-7258 · (219) 484-7683
Sole ProprietorYes
Enumeration DateJuly 21, 2022
Last NPPES UpdateJuly 23, 2022
NPPES CertifiedJuly 23, 2022
NPI 1386379501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 71012811A Licensed in IN · 28229514A
519 N HALLECK ST, Demotte, IN 46310

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mallory Nichole Matusik Fnp 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 46310 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310
Nurse Practitioner (Family)
519 N HALLECK ST
DEMOTTE, IN 46310
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310

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 Mallory Matusik's NPI number?

The NPI number for Mallory Matusik is 1386379501. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Mallory Matusik located?

Mallory Matusik practices at 519 N Halleck St, Demotte, IN 46310. The listed phone number is (219) 987-7750.

What is Mallory Matusik's specialty?

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

Is Mallory Matusik enrolled in Medicare?

Yes. Mallory Matusik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Matusik was last updated on July 23, 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.