TSANA NITOWAUKIA MATTICE AGACNP-BC
NPI 1578022042
Nurse Practitioner - Acute Care in Kalamazoo, MI

Active since March 14, 2019PECOS EnrolledAccepts Medicare Assignment
601 JOHN ST, KALAMAZOO, MI 49007(269) 341-7654 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, Aug 16, 2023, Oct 7, 2020 and 1 more (4 updates tracked since 2019).

About Tsana Nitowaukia Mattice Agacnp-bc NPPES

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

TSANA NITOWAUKIA MATTICE AGACNP-BC (NPI 1578022042) is an individual acute care provider in Kalamazoo, Michigan, licensed in Wisconsin (100630) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1578022042
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTSANA NITOWAUKIA MATTICECredential: AGACNP-BC
Location Address601 JOHN STKalamazoo, MI 49007-5341
Mailing Address13633 8 1/2 Mile RdBattle Creek, MI 49014-7527 · (269) 832-6187
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMarch 14, 2019
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1578022042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in WI · 100630 Licensed in MI · 4704300999 Licensed in WI · 14191
601 JOHN ST, Kalamazoo, MI 49007

Accepted Insurance

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

Tsana Nitowaukia Mattice Agacnp-bc 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 ID5991046328
PECOS Enrollment IDI20190411000354, I20230503001598, I20250627003191
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA
OwnershipProprietary
CMS Certification Number490097
Location727 North Main StreetEmporia, VA 23847 · Emporia City County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007

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 Tsana Mattice's NPI number?

The NPI number for Tsana Mattice is 1578022042. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Tsana Mattice located?

Tsana Mattice practices at 601 John St, Kalamazoo, MI 49007. The listed phone number is (269) 341-7654.

What is Tsana Mattice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tsana Mattice enrolled in Medicare?

Yes. Tsana Mattice 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.

What insurance does Tsana Mattice accept?

Health plans from CareSource (Common Ground Healthcare), Oscar Insurance Company and Priority Health list Tsana Mattice 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 Tsana Mattice affiliated with any hospitals?

According to CMS data, Tsana Mattice is affiliated with Bon Secours Southside Medical Center, Bon Secours Memorial Regional Medical Center, Bon Secours Southern Virginia Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tsana Mattice was last updated on July 15, 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.