Individual provider Active NPI

Marleen Matsko, RN-BC, BSN

  • Home Health Registered Nurse
  • Bellefonte, PA
National Provider Identifier
1811636053
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN532457 Issued in PA
Practice address
374 Phoenix Ave
Bellefonte, PA 16823-1309
Phone
(814) 810-2389
Fax
(814) 810-2390
NPI assigned
Jun 3, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X RN532457 PA
Home Health Registered Nurse 163WH0200X RN532457 PA Primary

Addresses

Primary practice location

374 Phoenix Ave
Bellefonte, PA 16823-1309

Mailing address

374 Phoenix Ave
Bellefonte, PA 16823-1309
Phone (814) 810-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN532457PAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Home Health Care LLC CurrentSince Jun 5, 2022 Accepting new patients

Locations

374 Phoenix Ave
Bellefonte, PA 16823
Phone (814) 810-2389

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1811636053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 PHOENIX AVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231309",
            "telephone_number": "814-810-2389",
            "fax_number": "814-810-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 PHOENIX AVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231309",
            "telephone_number": "814-810-2389",
            "fax_number": "814-810-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSKO",
        "first_name": "MARLEEN",
        "credential": "RN-BC, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN532457",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN532457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.