Zachary J Matuscin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-184516 Issued in AL

Practice address

233 Beverly Dr Ste 101
Calera, AL 35040-5658

Phone

(205) 821-4411

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Eminence Urgent Care LLCGroup PAC ID 5991105561, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eminence Urgent Care LLC

  • Emergency Medicine Physician
  • Pelham, AL
  • NPI 1285221671
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1588405195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 COUNTY RD 52 E",
            "address_2": "SUITE 150",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BEVERLY DR STE 101",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405658",
            "telephone_number": "205-821-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Harrison Plz",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356320002",
            "country_code": "US",
            "telephone_number": "520-603-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUSCIN",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AL",
            "license": "1-184516",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-184516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarra Nicole Love
• Kendall Lowery
• Sherry G Manns, LPN
• Jasmine Rose Martinez
• Cynthia Bell Matthews, MSPT
• Linda McCary
• Farnaz Mehran McCoy, DMD
• Kymber A McGiboney
• Noelle McKinney, LPC
• Amanda McKinnon, LPC

• Family Nurse Practitioner in Calera, AL
• Providers in Calera, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.

Verify at the official NPI Registry.