AMY R MATTICHAK (NP) – Family Nurse Practitioner, NPI 1396275517
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,161 NURSE PRACTITIONER in MI
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Provider Addresses for AMY R MATTICHAK (NP)
Lake Lansing Road, Lansing, Ingham County, Michigan, 48912, United States
LANSING, MI 489123798
Phone: (517) 485-0001
Type: Mailing
East Blue Grass Road, Mount Pleasant, Henry County, Iowa, 52641, United States
MT PLEASANT, MI 488586020
Phone: (989) 317-0565
Fax: (989) 317-0567
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $2,744.
Total Amount is formed as General ($2,744) + Research ($0) + Ownership ($0) = $2,744.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($418).
Total Amount
$2,744
General + Research + Ownership
Payments
140
Total payment records
General Amount
$2,744
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $418 |
| Lilly USA, LLC | $376 |
| AstraZeneca Pharmaceuticals LP | $359 |
| Axsome Therapeutics, Inc. | $300 |
| Exact Sciences Corporation | $100 |
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: 2017-07-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170707000142 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 131 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 116 | 60 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 67 | 15 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 60 | 42 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $0 |
Insurance plans in this area (ZIP 48912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Vascular Surgery | MI |
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