Hannah Theresa Matviko, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Manhattan, IL
NPI 1013672682 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1013672682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209024267 (IL)
- Practice address
- 380 W North St
Manhattan, IL 60442-9839 - Phone
- (815) 802-0077
- Fax
- (815) 418-3005
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28266008A | IN | MD | Registered Nurse |
| 209024267 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28266008A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011958A | IN | |
| Family Nurse Practitioner | 363LF0000X | 209024267 | IL | Yes |
Addresses
Primary practice location
380 W North St
Manhattan, IL 60442-9839
Mailing address
380 W North St
Manhattan, IL 60442-9839
Phone (815) 802-0077
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All providers in Manhattan, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 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.