NICOLE E MATERO LCSW
NPI 1922503200
Social Worker - Clinical in Shade Gap, PA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
11891 NEELYTON RD, SHADE GAP, PA 17255(717) 942-9797 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2025, Jul 24, 2019, Mar 28, 2018 (3 updates tracked since 2018).

About Nicole E Matero Lcsw NPPES

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

NICOLE E MATERO LCSW (NPI 1922503200) is an individual clinical provider in Shade Gap, Pennsylvania, licensed in Pennsylvania (CW024218) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922503200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE E MATEROCredential: LCSW
Location Address11891 NEELYTON RDShade Gap, PA 17255-9247
Mailing Address109 South StHarrisburg, PA 17101-1211 · (717) 891-1291
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 28, 2018
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1922503200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW024218
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 128886 (PA)
11891 NEELYTON RD, Shade Gap, PA 17255

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

Nicole E Matero Lcsw 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.

PECOS PAC ID3870858947
PECOS Enrollment IDI20180521002896
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 Nicole Matero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
11891 NEELYTON RD
Shade Gap, PA 17255
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 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 17255 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
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 5

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

Counselor (Mental Health)
11891 NEELYTON RD
SHADE GAP, PA 17255
Counselor (Mental Health)
11891 NEELYTON RD
SHADE GAP, PA 17255
Marriage & Family Therapist
11891 NEELYTON RD
SHADE GAP, PA 17255
Social Worker
11891 NEELYTON RD
SHADE GAP, PA 17255
Social Worker (Clinical)
11891 NEELYTON RD
SHADE GAP, PA 17255

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 Nicole Matero's NPI number?

The NPI number for Nicole Matero is 1922503200. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Nicole Matero located?

Nicole Matero practices at 11891 Neelyton Rd, Shade Gap, PA 17255. The listed phone number is (717) 942-9797.

What is Nicole Matero's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Matero enrolled in Medicare?

Yes. Nicole Matero 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 organization bills Medicare for Nicole Matero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Matero reassigns Medicare benefits to The Mindful Oasis Co. (Shade Gap, PA). 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 Nicole Matero'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 Nicole Matero was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.