MR. MATTHEW MICHAEL CARBONELLI PHD
NPI 1396259818
Psychologist - Clinical in Milwaukee, WI
About Mr. Matthew Michael Carbonelli Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW MICHAEL CARBONELLI PHD (NPI 1396259818) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (4158) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Wisconsin School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Matthew Michael Carbonelli Phd 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 Reassignment
Medicare enrollment records show Matthew Carbonelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53211
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 Matthew Carbonelli's NPI number?
The NPI number for Matthew Carbonelli is 1396259818. It was assigned to this individual provider in the NPPES registry on November 20, 2017.
Where is Matthew Carbonelli located?
Matthew Carbonelli practices at 2311 N Prospect Ave, Milwaukee, WI 53211. The listed phone number is (715) 390-3000.
What is Matthew Carbonelli's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Matthew Carbonelli enrolled in Medicare?
Yes. Matthew Carbonelli 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 organization bills Medicare for Matthew Carbonelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Carbonelli reassigns Medicare benefits to Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI). 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 Matthew Carbonelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Carbonelli accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Matthew Carbonelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Carbonelli affiliated with any hospitals?
According to CMS data, Matthew Carbonelli is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Carbonelli was last updated on September 4, 2023. 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.
# Mr. Matthew Michael Carbonelli, PHD · NPI 1396259818
Clinical provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since November 20, 2017.
## Identity
- **NPI:** 1396259818 (Entity type: Individual)
- **Enumerated:** November 20, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 4158 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2311 N PROSPECT AVE, Milwaukee, WI 53211-4445
- **Phone:** (715) 390-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Columbia St. Mary's Hospital Milwaukee Inc (NPI 1225071491, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396259818) · Data from the CMS NPPES public registry.