MATTHEW PECULIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184131898

MATTHEW PECULIS (PMHNP) is a healthcare provider. based in Walpole, Massachusetts. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials PMHNP. They hold a License No. RN2297450 (MA). The NPI Number for MATTHEW PECULIS (PMHNP) is 1184131898

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW PECULIS (PMHNP)
NPI
1184131898
Phone
Not provided
Address
1600 PROVIDENCE HWY UNIT 167
Enumeration Date
3 January 2018
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086607949
Graduation Year
2017 (9 years ago)
PAC ID
3476803917
Group Practice PAC ID
0244218360
Professional Enrollment ID
I20180905000748
Address ID
MA020812553WA1600XHWYX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA

Provider Addresses for MATTHEW PECULIS (PMHNP)

  • 1600 PROVIDENCE HWY UNIT 167

    WALPOLE, MA 020812553

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $2,985.

Total Amount is formed as General ($2,985) + Research ($0) + Ownership ($0) = $2,985.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($475).

Total Amount

$2,985

General + Research + Ownership

Payments

150

Total payment records

General Amount

$2,985

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

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: 2018-09-05

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
I20180905000748ICertified Clinical Nurse Specialist (Cns)MATBD

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 minutes31254$0
View full utilization report →

Insurance plans in this area (ZIP 02081)

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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: 0244218360View full group profile
NameSpecialtyState
Nurse PractitionerMA
Psychiatry, Geriatric PsychiatryMA
P S Y C H I A T R YMA
-MA
Clinical PsychologistMA
Clinical Social WorkerMA
Certified Clinical Nurse Specialist (Cns)MA
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Does MATTHEW PECULIS (PMHNP) have a public NPI I can cite?
Public records show MATTHEW PECULIS (PMHNP) under NPI 1184131898.
Is MATTHEW PECULIS (PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists MATTHEW PECULIS (PMHNP) as active.
What services align with MATTHEW PECULIS (PMHNP)'s listing?
MATTHEW PECULIS (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MATTHEW PECULIS (PMHNP) tied to Walpole, Massachusetts?
If you are local to Walpole, Massachusetts, MATTHEW PECULIS (PMHNP) may be relevant to your search.
Who maintains MATTHEW PECULIS (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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