DR. DEZERAY CLARE MATOTT NP
NPI 1649655952
Nurse Practitioner - Family in Chippewa Falls, WI

Q: What is Dezeray Matott's NPI number?

The NPI number for Dezeray Matott is 1649655952. It was assigned to this individual provider in the NPPES registry on July 28, 2015. The provider is also known as Ms. Dezeray Clare Tomesh.

Q: What is Dezeray Matott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dezeray Matott was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 28, 2015PECOS Enrolled

12961 27TH AVE, CHIPPEWA FALLS, WI 54729(715) 738-3700 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dezeray Clare Matott Np NPPES

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

DR. DEZERAY CLARE MATOTT NP (NPI 1649655952) is an individual family provider in Chippewa Falls, Wisconsin, licensed in Wisconsin (6503-33) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649655952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. DEZERAY CLARE MATOTTCredential: NP

Location Address12961 27TH AVEChippewa Falls, WI 54729-5699

Mailing Address12961 27th AveChippewa Falls, WI 54729-5699 · (715) 738-3700

Phone(715) 738-3700

Sole ProprietorNo

Enumeration DateJuly 28, 2015

✔ NPI 1649655952 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 WI · 6503-33

12961 27TH AVE, Chippewa Falls, WI 54729

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Other Names 1

Former Name (1)Ms. Dezeray Clare Tomesh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dezeray Clare Matott Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54729 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 18

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

FAMILY HEALTH CENTER OF MARSHFIELD, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))