Individual provider Active NPI

Ashley Nicole Matusiak, MSN, FNP-BC

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1679287973
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704314249 Issued in MI
Practice address
800 Cooper Ave Ste 1
Saginaw, MI 48602-5394
Phone
(989) 583-6400
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704314249 MI Primary

Addresses

Primary practice location

800 Cooper Ave Ste 1
Saginaw, MI 48602-5394

Mailing address

800 Cooper Ave Ste 1
Saginaw, MI 48602-5394
Phone (989) 583-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231103000828 MI Practitioner - Nurse Practitioner 3870940497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

800 Cooper Ave
Suite 1
Saginaw, MI 48602-5394
Phone (989) 753-2061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Covenant Medical Center, Inc. Single Specialty Current Accepting new patients

Locations

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

800 Cooper Ave
Ste 1
Saginaw, MI 48602
Phone (989) 583-6400

Interoperability endpoints

  • Direct secure messaging: amatusiak136093@direct.covenanthealthcare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1679287973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-583-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-583-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSIAK",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704314249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.