MS. NICOLE DEMATTO CRNP
NPI 1497103790
Nurse Practitioner - Family in Exton, PA

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
154 EXTON SQUARE MALL STE 154, EXTON, PA 19341(484) 565-1293 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nicole Dematto Crnp NPPES

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

MS. NICOLE DEMATTO CRNP (NPI 1497103790) is an individual family provider in Exton, Pennsylvania, licensed in Pennsylvania (SP015744) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497103790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. NICOLE DEMATTOCredential: CRNP
Location Address154 EXTON SQUARE MALL STE 154Exton, PA 19341-2440
Mailing Address204 Walllingford AveWallingford, PA 19086-6134 · (610) 675-4765
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 26, 2016
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1497103790 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
License Licensed in PA · SP015744
154 EXTON SQUARE MALL STE 154, Exton, PA 19341

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Nicole Dematto Crnp 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.

PECOS PAC ID2062786403
PECOS Enrollment IDI20170922001813
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Nicole Dematto's NPI number?

The NPI number for Nicole Dematto is 1497103790. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Nicole Dematto located?

Nicole Dematto practices at 154 Exton Square Mall Ste 154, Exton, PA 19341. The listed phone number is (484) 565-1293.

What is Nicole Dematto's specialty?

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

Is Nicole Dematto enrolled in Medicare?

Yes. Nicole Dematto 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.

Is Nicole Dematto affiliated with any hospitals?

According to CMS data, Nicole Dematto is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Nicole Dematto was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.