Victoria Matovski

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704390207 Issued in MI

Practice address

54195 Cambridge Dr
Shelby Township, MI 48315-1669

Phone

(586) 404-1968

NPI assigned

Nov 3, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

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.

• Berkley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Berkley, MI
  • NPI 1083022735
  Medicare reassignment NPD
• Express Health Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1265157697
  Medicare reassignment

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

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1831068220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54195 CAMBRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54195 CAMBRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151669",
            "telephone_number": "586-404-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVSKI",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704390207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin M. Taragin DDS PC
• Marilyn S Massaro, LPT
• Susan Masserang
• Carmela Masters, MA
• Anila Mathew
• Ariana Patricia Matway, DDS
• Liane Joy Maxwell, OT
• Austin Mayer
• Brian Glenn McCarroll, DPT
• Claudine McCormick, PTA

• Family Nurse Practitioner in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.