MATTHEW RAYMOND NUESSLE (OTR/L) – Occupational Therapist, NPI 1184107252
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MATTHEW RAYMOND NUESSLE (OTR/L)
9321 W Sunset Rd Ste 220
Las Vegas, NV 891484845
Phone: (702) 645-7800
Fax: (702) 650-0865
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2222
Fax: (630) 759-9510
Type: Mailing
Peak Drive, Las Vegas, Clark County, Nevada, 89108, United States
LAS VEGAS, NV 891289038
Phone: (702) 940-3000
Fax: (702) 940-3004
Type: Location
7455 ARROYO CROSSING PKWY
STE 220
LAS VEGAS, NV 891134088
Phone: (702) 761-6449
Type: Mailing
7455 ARROYO CROSSING PKWY STE 220
LAS VEGAS, NV 891134088
Phone: (702) 761-6449
Fax: (702) 925-0282
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: 2018-10-17
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 |
|---|---|---|---|---|
| I20181017001222 | I | Occupational Therapist In Private Practice | NV | 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 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NY | |
| - | NV | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NY | |
| - | TX | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | WA |
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