KRISTOPHER MICHAEL MATELIC CRNA
NPI 1407243835
Nurse Anesthetist, Certified Registered in Detroit, MI
About Kristopher Michael Matelic Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER MICHAEL MATELIC CRNA (NPI 1407243835) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704270927) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (2015).
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
Kristopher Michael Matelic Crna 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
6Medicare enrollment records show Kristopher Matelic reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48082
- Reassigned Medicare billing, Michigan enrollment
- 45 clinicians in this Medicare group
Dearborn, MI 48126
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 369 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 242 clinicians in this Medicare group
Fairbanks, AK 99701
- Reassigned Medicare billing, Alaska enrollment
- 172 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 2
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.
Prov Sacred Hrt Med Ctr & Childs Hosp.
Acute Care Hospitals · Spokane, WAProvidence Holy Family Hospital
Acute Care Hospitals · Spokane, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kristopher Matelic's NPI number?
The NPI number for Kristopher Matelic is 1407243835. It was assigned to this individual provider in the NPPES registry on April 23, 2015.
Where is Kristopher Matelic located?
Kristopher Matelic practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-2000.
What is Kristopher Matelic's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kristopher Matelic enrolled in Medicare?
Yes. Kristopher Matelic 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 Kristopher Matelic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Matelic reassigns Medicare benefits to 6 organizations: Radius Anesthesia Of Michigan PLLC (Saint Clair Shores, MI), Southeast Michigan Anesthesia Group PLLC (Dearborn, MI), Northstar Anesthesia Of Michigan III PLLC (Irving, TX), Northstar Anesthesia Of Michigan PLLC (Irving, TX), Providence Health & Service- Washington (Spokane, WA) and 1 more organization, listed in the Medicare section above. 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 Kristopher Matelic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristopher Matelic accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kristopher Matelic 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 Kristopher Matelic affiliated with any hospitals?
According to CMS data, Kristopher Matelic is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.
When was this NPI record last updated?
The NPPES record for Kristopher Matelic was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kristopher Michael Matelic, CRNA · NPI 1407243835
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 23, 2015.
## Identity
- **NPI:** 1407243835 (Entity type: Individual)
- **Enumerated:** April 23, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704270927 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 JOHN R ST, Detroit, MI 48201-2018
- **Phone:** (313) 745-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Radius Anesthesia Of Michigan PLLC (NPI 1578002523, Saint Clair Shores, MI); Southeast Michigan Anesthesia Group PLLC (NPI 1417403866, Dearborn, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX); Northstar Anesthesia Of Michigan PLLC (NPI 1871986372, Irving, TX); Providence Health & Service- Washington (NPI 1508118555, Spokane, WA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407243835) · Data from the CMS NPPES public registry.