MR. TREVOR SAMUEL MATTARELLA (FNP) – Family Nurse Practitioner, NPI 1104337344
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for MR. TREVOR SAMUEL MATTARELLA (FNP)
168, North Caseville Road, Pigeon, Winsor Township, Huron County, Michigan, 48755, United States
PIGEON, MI 487559415
Phone: (989) 453-2141
Fax: (989) 453-2559
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 155 Open Payments records for all available years, with a total value of $3,588.
Total Amount is formed as General ($3,588) + Research ($0) + Ownership ($0) = $3,588.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($703).
Total Amount
$3,588
General + Research + Ownership
Payments
155
Total payment records
General Amount
$3,588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $703 |
| Axsome Therapeutics, Inc. | $555 |
| Otsuka America Pharmaceutical, Inc. | $329 |
| Novo Nordisk Inc | $267 |
| Bayer Healthcare Pharmaceuticals Inc. | $163 |
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: 2017-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171220000582 | I | Nurse Practitioner | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48755)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice, Geriatric Medicine | MI | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Emergency Medicine | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| General Surgery | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI |
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