MRS. ALICJA MATUSIAK (LISW-S, CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174757678
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. ALICJA MATUSIAK (LISW-S, CNP)
4770 INDIANOLA AVE STE 107
COLUMBUS, OH 432141862
Phone: (614) 371-2303
Fax: (800) 905-9950
Type: Mailing
Sullivant Avenue, Columbus, Franklin, Ohio, 43228, United States
COLUMBUS, OH 432041895
Phone: (614) 371-2303
Fax: (800) 905-9950
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $3,303.
Total Amount is formed as General ($3,303) + Research ($0) + Ownership ($0) = $3,303.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($608).
Total Amount
$3,303
General + Research + Ownership
Payments
174
Total payment records
General Amount
$3,303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $608 |
| Otsuka America Pharmaceutical, Inc. | $446 |
| Alkermes, Inc. | $361 |
| Teva Pharmaceuticals USA, Inc. | $298 |
| ITI, Inc. | $259 |
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: 2020-04-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091113000564 | I | Clinical Social Worker | OH | TBD |
| I20200428000775 | I | Nurse Practitioner | OH | 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 43214)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | NC | |
| Clinical Psychologist | PA | |
| Nurse Practitioner | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.