Active NPI
Matthew James Palicka, ARNP
- Family Nurse Practitioner
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5018574
- Practice address
- 399 9TH St N
Suite 300
Naples, FL 34102-5820 - Phone
- (239) 436-5634
- Fax
- (239) 649-1290
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3209042 | FL | |
| Family Nurse Practitioner | 363LF0000X | 5018574 | NC | Primary |
Addresses
Primary practice location
399 9TH St N
Suite 300
Naples, FL 34102-5820
Mailing address
6101 Pine Ridge Rd
Desk 12/13
Naples, FL 34119-3900
Phone (239) 263-0849
Other practice location 1
2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002474000 | Medicaid | FL | |
| YQ4QT | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6393
6376 Pine Ridge Rd
Naples, FL 34119-3926
Phone (239) 263-0849
730 Goodlette Rd N
Suite 100
Naples, FL 34102-5617
Phone (239) 682-6603
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018574 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Naples Heart Rhythm Specialists PA | Current | Accepting new patients | |
| Lower Keys Inpatient Services, LLC | Past | Accepting new patients | |
| Comprehensive Hospitalist Services of Naples LLC | Past | Accepting new patients |
Locations
6101 Pine Ridge Rd
#1213
Naples, FL 34119
Phone (239) 263-0849
730 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 263-0849
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
Interoperability endpoints
- https://api.platform.athenahealth.com/25641/brand/1/csg/1/fhir/r4
- matthew.palicka.1@25641.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Cardiac Electrophysiology Physician
- Naples, FL
- NPI 1730376708
-
dba Women's Health Group-Valdese
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
-
dba Blue Ridge Hospitalists
- Hospitalist Physician
- Morganton, NC
- NPI 1144621822
-
dba Blue Ridge Transitional Care Clinic
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
- Hospitalist Physician
- Daytona Beach, FL
- NPI 1851693568
-
- Hospitalist Physician
- Key West, FL
- NPI 1225352248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1144339383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 PINE RIDGE RD",
"address_2": "DESK 12/13",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193900",
"telephone_number": "239-263-0849",
"fax_number": "239-263-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 9TH ST N",
"address_2": "SUITE 300",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025820",
"telephone_number": "239-436-5634",
"fax_number": "239-649-1290"
}
],
"practiceLocations": [
{
"address_1": "2201 S Sterling St",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286554044",
"country_code": "US",
"telephone_number": "828-580-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALICKA",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3209042",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5018574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002474000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "YQ4QT",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.