TERESA MARIE MATZKE (FNP) – Family Nurse Practitioner, NPI 1154321420

TERESA MARIE MATZKE (FNP) is a healthcare provider. based in Dublin, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 195117 (MT). The NPI Number for TERESA MARIE MATZKE (FNP) is 1154321420

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TERESA MARIE MATZKE (FNP)
NPI
1154321420
Phone
(614) 544-6161
Address
5400 FRANTZ RD 250
Enumeration Date
28 July 2005
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
1052374832
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20130513000633
Address ID
OH432154799CO393XXSTXX400

Contacts

Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness95
Years active:20State licenses:3Other names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for TERESA MARIE MATZKE (FNP)

  • Frantz Road, Dublin, Franklin, Ohio, 43016, United States

    DUBLIN, OH 430166102

    Phone: (614) 544-6161

    Fax: (614) 544-6370

    Type: Mailing

  • Grady Memorial Hospital, 561, West Central Avenue, Sandusky Street Historic District, Lexington Glen, Delaware, Ohio, 43015, United States

    DELAWARE, OH 430151410

    Phone: (740) 615-1000

    Fax: (740) 615-2565

    Type: Location

  • 350 Heritage Way Ste 2300

    Kalispell, MT 599013167

    Phone: (406) 890-7432

    Fax: (406) 890-7402

    Type: Location

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: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130513000633INurse PractitionerOHTBD
I20250814004649INurse PractitionerMTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43016)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for TERESA MARIE MATZKE (FNP)?
TERESA MARIE MATZKE (FNP) — NPI 1154321420 — is the standard way to identify this listing.
Does the file indicate TERESA MARIE MATZKE (FNP) is practicing under active NPI?
Directory data currently reports TERESA MARIE MATZKE (FNP) as active.
What healthcare role does TERESA MARIE MATZKE (FNP) hold?
Scheduling teams often label TERESA MARIE MATZKE (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TERESA MARIE MATZKE (FNP) based?
TERESA MARIE MATZKE (FNP) is tied to Dublin, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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