DR. HEATHER NICOLE MATEJKA DMD
NPI 1609424837
Dentist in Kenosha, WI
About Dr. Heather Nicole Matejka Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER NICOLE MATEJKA DMD (NPI 1609424837) is an individual dentist in Kenosha, Wisconsin, licensed in Wisconsin (1002180) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Heather Nicole Matejka Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heather Matejka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 355 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53143 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.
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 Heather Matejka's NPI number?
The NPI number for Heather Matejka is 1609424837. It was assigned to this individual provider in the NPPES registry on August 30, 2019.
Where is Heather Matejka located?
Heather Matejka practices at 6226 14th Ave, Kenosha, WI 53143. The listed phone number is (815) 861-2354.
What is Heather Matejka's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Heather Matejka enrolled in Medicare?
Yes. Heather Matejka is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heather Matejka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Matejka reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). The 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 Heather Matejka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Matejka accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Heather Matejka 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.
When was this NPI record last updated?
The NPPES record for Heather Matejka was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Heather Nicole Matejka, DMD · NPI 1609424837
Dentist provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1609424837 (Entity type: Individual)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 1002180 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6226 14TH AVE, Kenosha, WI 53143-4413
- **Phone:** (815) 861-2354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Peak Vista Community Health Centers (NPI 1730166034, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1609424837) · Data from the CMS NPPES public registry.