SUSAN CHACKO MATTHEW ND APN FNP
NPI 1417169095
Nurse Practitioner - Family in Chicago, IL

Q: What is Susan Matthew's NPI number?

The NPI number for Susan Matthew is 1417169095. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Susan Matthew's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Matthew was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 04, 2007PECOS Enrolled

111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604(888) 731-8994 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Chacko Matthew Nd Apn Fnp NPPES

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

SUSAN CHACKO MATTHEW ND APN FNP (NPI 1417169095) is an individual family provider in Chicago, Illinois, licensed in Illinois (209002419) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417169095

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN CHACKO MATTHEWCredential: ND APN FNP

Location Address111 W JACKSON BLVD STE 1700Chicago, IL 60604-3597

Mailing Address111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597 · (888) 731-8994

Phone(888) 731-8994

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1417169095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209002419

Also ListedRegistered NurseTaxonomy 163W00000X · License 41285306 (IL)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209002419 (IL)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209002419 (IL)

111 W JACKSON BLVD STE 1700, Chicago, IL 60604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Chacko Matthew Nd Apn 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 60604 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

JOSIE COURT FNP-C

Nurse Practitioner (Family)