TSANA NITOWAUKIA MATTICE AGACNP-BC
NPI 1578022042
Nurse Practitioner - Acute Care in Kalamazoo, MI
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Tsana Mattice reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 557 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Lima, OH 45804
- Reassigned Medicare billing, Ohio enrollment
- 42 clinicians in this Medicare group
Muskego, WI 53150
- Reassigned Medicare billing, Wisconsin enrollment
- 528 clinicians in this Medicare group
Gaylord, MI 49735
- Reassigned Medicare billing, Michigan enrollment
- 62 clinicians in this Medicare group
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 134 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 43 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
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 3
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, VABon Secours Memorial Regional Medical Center
Acute Care Hospitals · Mechanicsville, VABon Secours St Francis Medical Center
Acute Care Hospitals · Midlothian, VAPhysician 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.
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.
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.
Which organizations bill Medicare for Tsana Mattice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tsana Mattice reassigns Medicare benefits to 9 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Bronson Battle Creek Hospital (Battle Creek, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI), Allen Intensivist Group LLC (Lima, OH), Prohealth Medical Group Inc (Muskego, WI) and 4 more organizations, 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 Tsana Mattice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tsana Mattice accept?
Health plans from Oscar Health, Oscar Insurance Company, Priority Health and UnitedHealthcare 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 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.
# Tsana Nitowaukia Mattice, AGACNP-BC · NPI 1578022042
Acute Care physician in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since March 14, 2019.
## Identity
- **NPI:** 1578022042 (Entity type: Individual)
- **Enumerated:** March 14, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 100630 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 JOHN ST, Kalamazoo, MI 49007-5341
- **Phone:** (269) 341-7654
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); Bronson Battle Creek Hospital (NPI 1093119638, Battle Creek, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); Allen Intensivist Group LLC (NPI 1811620057, Lima, OH); Prohealth Medical Group Inc (NPI 1114068970, Muskego, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578022042) · Data from the CMS NPPES public registry.