DR. NAOMI MATTERA NARDI (DO) – Emergency Medicine Physician, NPI 1437589108

DR. NAOMI MATTERA NARDI (DO) is a healthcare provider. based in Rockford, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OP61074435 (WA). The NPI Number for DR. NAOMI MATTERA NARDI (DO) is 1437589108

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAOMI MATTERA NARDI (DO)
NPI
1437589108
Phone
(815) 971-3333
Address
2400 N Rockton Ave
Enumeration Date
17 November 2013
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2536978660
Graduation Year
2015 (11 years ago)
PAC ID
8921313446
Group Practice PAC ID
0749514735
Professional Enrollment ID
I20201229000779
Address ID
WA984444654TA14815SXXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. NAOMI MATTERA NARDI (DO)

  • 2400 N Rockton Ave

    Rockford, IL 611033655

    Phone: (815) 971-3333

    Type: Location

  • 8201 E RIVERSIDE BLVD

    ROCKFORD, IL 611142300

    Phone: (815) 971-7000

    Type: Mailing

  • 8201 E Riverside Blvd

    Rockford, IL 611142300

    Phone: (815) 971-7000

    Type: Location

  • 700 LILLY RD NE

    OLYMPIA, WA 985065115

    Phone: (360) 923-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-29

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
I20201229000779IEmergency MedicineWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 61103)

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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: 0749514735View full group profile
NameSpecialtyState
Emergency MedicineNY
-OR
Emergency MedicineCA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineTX
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineOH
Nurse PractitionerWA

Reviews

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Frequently asked questions

What federal number belongs to DR. NAOMI MATTERA NARDI (DO)?
The federal identifier for DR. NAOMI MATTERA NARDI (DO) is NPI 1437589108.
Is DR. NAOMI MATTERA NARDI (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. NAOMI MATTERA NARDI (DO)?
The page reflects Emergency Medicine Physician for DR. NAOMI MATTERA NARDI (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DR. NAOMI MATTERA NARDI (DO)?
The snapshot lists Rockford, Illinois for DR. NAOMI MATTERA NARDI (DO); download NPPES for the complete set.
What if Rockford, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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