Jean E Matushak, RN
Individual provider Active NPI Home Health Registered Nurse · Marathon, WI
NPI 1003978321 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1003978321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- Practice address
- 4152 County Rd N
Marathon, WI 54448 - Phone
- (715) 352-3285
- Fax
- (715) 352-3285
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140471030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | ||
| Home Health Registered Nurse | 163WH0200X | WI | Yes |
Addresses
Primary practice location
4152 County Rd N
Marathon, WI 54448
Mailing address
4152 County Rd N
Marathon, WI 54448
Phone (715) 352-3285
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38326000 | Medicaid | WI |
Other providers in Marathon, WI
- Marks Chiropractic, LLC
- Keith Lynch Marks
- Noelle Olivia Marks
- Martell Eyecare, LLC
- Ken Martell
- Sharon Louise Muttonen
- Leah Oonk
- Osl Marathon Operating LLC
- Raymond M Goga
- Breanna Riesgraf
All providers in Marathon, WI · Home Health Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.