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MARJAN MATIN APRN
NPI 1821605106
Registered Nurse in Chicago, IL

Active since September 30, 2020PECOS Enrolled
3023 N CLARK ST STE 593, CHICAGO, IL 60657(205) 427-9243 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, Sep 30, 2020 (2 updates tracked since 2020).

About Marjan Matin Aprn NPPES

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

MARJAN MATIN APRN (NPI 1821605106) is an individual registered nurse in Chicago, Illinois, licensed in Illinois (041414396) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2025).

NPPES Registry Identity

NPI1821605106
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMARJAN MATINCredential: APRN
Location Address3023 N CLARK ST STE 593Chicago, IL 60657-5200
Mailing Address3023 N Clark St Ste 593Chicago, IL 60657-5200 · (205) 427-9243
Phone(205) 427-9243
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2025
Enumeration DateSeptember 30, 2020
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1821605106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041414396
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209033966 (IL)
3023 N CLARK ST STE 593, Chicago, IL 60657
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marjan Matin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476031766
PECOS Enrollment IDI20260128003841
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.

Medicare Billing Reassignment

Medicare enrollment records show Marjan Matin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mugen Psychiatry LLC
16 mi
Psychiatry
600 W 22ND ST STE 260
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1861146284 (331) 291-8522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

RYAN PATRICK PUGH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3023 N CLARK ST STE 593
CHICAGO, IL 60657
Cook County (205) 427-9243
KELSEY RAE COLANGELO PMHNP MSN
Nurse Practitioner (Psychiatric/Mental Health)
3023 N CLARK ST STE 593
CHICAGO, IL 60657
Cook County (205) 427-9243
ERIKA MARIE REGACHO DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3023 N CLARK ST STE 593
CHICAGO, IL 60657
Cook County (630) 550-9454
FOLARIN OLANREWAJU PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3023 N CLARK ST STE 593
CHICAGO, IL 60657
Cook County (205) 427-9243
ELIZABETTE NAVA APRN
Nurse Practitioner (Psychiatric/Mental Health)
3023 N CLARK ST STE 593
CHICAGO, IL 60657
Cook County (205) 427-9243

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 Marjan Matin's NPI number?

The NPI number for Marjan Matin is 1821605106. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Marjan Matin located?

Marjan Matin practices at 3023 N Clark St Ste 593, Chicago, IL 60657. The listed phone number is (205) 427-9243.

What is Marjan Matin's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Marjan Matin enrolled in Medicare?

Yes. Marjan Matin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marjan Matin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marjan Matin reassigns Medicare benefits to Mugen Psychiatry LLC (Oak Brook, IL). 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 Marjan Matin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marjan Matin was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.