Michelle Vallestero Matusalem

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01393700 Issued in NJ

Practice address

23 Duke St
New Brunswick, NJ 08901-1738

Phone

(908) 444-0436

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Chase Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rahway, NJ
  • NPI 1942878400
  Medicare reassignment NPD
• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181
  Medicare reassignment NPD
• Mindcare Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kendall Park, NJ
  • NPI 1588444707
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1619684933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DUKE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011738",
            "telephone_number": "908-444-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DUKE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011738",
            "telephone_number": "908-444-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSALEM",
        "first_name": "MICHELLE",
        "middle_name": "VALLESTERO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01393700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MichellematusalemAPN@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "MichellematusalemAPN@outlook.com",
            "address_1": "23 Duke St",
            "city": "New Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089011738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Elizabeth Matos Campos, NP
• Virginia Matos-Perrotte, DMD
• Kant Michael Matsuda, M.D. PH.D.
• Arun Mattappallil, PHARMD
• Kayla Rain Helene Matteo, DO
• Sandra J. Matuska, APN-C
• Sarah D. Maute, RN, MS CCRN, APN
• Michael May
• Pleasure May
• Phillipa Tamara Maye-Powis, APN

• Psychiatric/Mental Health Nurse Practitioner in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.