MRS. COLLEEN FRANCES MATULAITIS NP
NPI 1609258664
Nurse Practitioner - Family in Berlin, MD

Active since June 25, 2015Opted out of Medicare · through Oct 1, 2026
11101 CATHAGE RD., SUITE 102, BERLIN, MD 21811(410) 912-6104(410) 912-6105 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Dec 14, 2015 (3 updates tracked since 2015).

About Mrs. Colleen Frances Matulaitis Np NPPES

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

MRS. COLLEEN FRANCES MATULAITIS NP (NPI 1609258664) is an individual family provider in Berlin, Maryland, licensed in Maryland (R076432) and active in the NPI registry since June 2015. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1609258664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COLLEEN FRANCES MATULAITISCredential: NP
Location Address11101 CATHAGE RD., SUITE 102Berlin, MD 21811
Mailing Address11101 Cathage Rd., Suite 102Berlin, MD 21811 · (410) 912-6104 · Fax (410) 912-6105
Fax(410) 912-6105
Sole ProprietorNo
Enumeration DateJune 25, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1609258664 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 MD · R076432
11101 CATHAGE RD., Berlin, MD 21811

Other Names 1

Former Name (1)Ms. Colleen Frances King Crnp

Secondary Practice Location 1

Location 11310 Belmont Ave Ste 302Salisbury, MD 21804-4506 · Phone (443) 358-5388

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Colleen Frances Matulaitis Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 3

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

Physician Assistant
11101 CATHAGE RD.
BERLIN, MD 21811
Family Medicine
11101 CATHAGE RD., SUITE 102
BERLIN, MD 21811
Family Medicine
11101 CATHAGE RD., SUITE 102
BERLIN, MD 21811

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 Colleen Matulaitis's NPI number?

The NPI number for Colleen Matulaitis is 1609258664. It was assigned to this individual provider in the NPPES registry on June 25, 2015. The provider is also known as Ms. Colleen Frances King Crnp.

Where is Colleen Matulaitis located?

Colleen Matulaitis practices at 11101 Cathage Rd. Suite 102, Berlin, MD 21811. The listed phone number is (410) 912-6104.

What is Colleen Matulaitis's specialty?

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

Is Colleen Matulaitis enrolled in Medicare?

No. Colleen Matulaitis has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Colleen Matulaitis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.