MAKI MATSUMURA (NP-C) – Nurse Practitioner, NPI 1013316488

MAKI MATSUMURA (NP-C) is a healthcare provider. based in Walnut creek, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 95001105 (CA). The NPI Number for MAKI MATSUMURA (NP-C) is 1013316488

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MAKI MATSUMURA (NP-C)
NPI
1013316488
Phone
(925) 952-2828
Address
1450 TREAT BLVD STE 300
Enumeration Date
21 August 2014
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9252969740
Graduation Year
2014 (12 years ago)
PAC ID
7517187891
Group Practice PAC ID
6608789813
Professional Enrollment ID
I20141009000006
Address ID
CA945972168WA1450XBLVD309
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MAKI MATSUMURA (NP-C)

  • 1450 TREAT BLVD STE 300

    WALNUT CREEK, CA 945972168

    Phone: (925) 952-2828

    Type: Mailing

  • 1450 TREAT BLVD STE 250A

    WALNUT CREEK, CA 945972168

    Phone: (925) 296-9740

    Fax: (925) 296-9062

    Type: Location

  • 1510 4TH ST

    SUITE 1

    BERKELEY, CA 947101717

    Phone: (858) 337-7770

    Type: Mailing

  • 1510 4th St

    Suite 1

    Berkeley, CA 947101717

    Phone: (858) 337-7770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Exact Sciences Corporation ($46).

Total Amount

$101

General + Research + Ownership

Payments

4

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141009000006INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes252210$0
99214Established patient office or other outpatient visit, 30-39 minutes139107$0
99212Established patient office or other outpatient visit, 10-19 minutes6761$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
View full utilization report →

Insurance plans in this area (ZIP 94597)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608789813View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA
Family PracticeCA
-CA
-CA
U R O L O G YCA
Internal Medicine, HospitalistCA
-CA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is MAKI MATSUMURA (NP-C)'s NPI number?
MAKI MATSUMURA (NP-C)'s NPI is 1013316488 — the number used across U.S. healthcare to identify this provider.
Is MAKI MATSUMURA (NP-C) still an active registrant?
MAKI MATSUMURA (NP-C) carries an active NPI according to the public dataset.
What area of care is associated with MAKI MATSUMURA (NP-C)?
MAKI MATSUMURA (NP-C)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MAKI MATSUMURA (NP-C) associated with Walnut Creek?
Public fields place MAKI MATSUMURA (NP-C) around Walnut Creek, California. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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