Individual provider Active NPI

Joan Adele Matejovsky, NP-C

  • Family Nurse Practitioner
  • Coldwater, MI
National Provider Identifier
1750857934
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704175538 Issued in MI
Practice address
892 E Chicago St Ste C
Coldwater, MI 49036-2063
Phone
(517) 278-2301
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704175538 MI Primary

Addresses

Primary practice location

892 E Chicago St Ste C
Coldwater, MI 49036-2063

Mailing address

220 N Union St
Reading, MI 49274-9575
Phone (517) 252-1299

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
I20181119000431 MI Practitioner - Nurse Practitioner 6800140492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schoolcraft Memorial HospitalGroup PAC ID 4082525118, 30 clinicians

Practice addresses (Care Compare)

7870W US Hwy 2
Manistique, MI 49854-8992
Phone (906) 341-2153

W11650 US Hwy 2
Naubinway, MI 49762-5116
Phone (906) 341-2153

Hospital & facility affiliations

  • Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303
  • Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Island Rural Health Center CurrentSince Mar 30, 2019 Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Jun 5, 2025 Accepting new patients
Schoolcraft Memorial Hospital Current Accepting new patients

Locations

37304 Kings Hwy
Beaver Island, MI 49782
Phone (231) 448-2275

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

Organizations & group practices 4

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 2

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1750857934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N UNION ST",
            "city": "READING",
            "state": "MI",
            "postal_code": "492749575",
            "telephone_number": "517-252-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 E CHICAGO ST STE C",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362063",
            "telephone_number": "517-278-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEJOVSKY",
        "first_name": "JOAN",
        "middle_name": "ADELE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704175538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.