Nicole Stocker Matysiak, FNP-C in Mesquite, TX

Nicole Stocker Matysiak, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mesquite, Texas. Her current practice location is 1650 Republic Pkwy Ste 140, Mesquite, Texas. You can reach out to her office (for appointments etc.) via phone at (888) 382-0161.

Nicole Stocker Matysiak is licensed to practice in Texas (license number AP121755) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851529606.

Contact Information

	Nicole Stocker Matysiak, FNP-C
	1650 Republic Pkwy Ste 140, Mesquite, TX 75150-6920
	(888) 382-0161
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Stocker Matysiak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1650 Republic Pkwy Ste 140, Mesquite, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851529606
Provider Enumeration Date: 06/30/2009
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6800019415
Enrollment ID: I20140529002284

Medical Identifiers

Medical identifiers for Nicole Stocker Matysiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851529606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	793825 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP121755 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Stocker Matysiak allows following entities to bill medicare on her behalf.

Entity Name	Trend Physicians Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750934089 PECOS PAC ID: 9133553498 Enrollment ID: O20191220000140

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Stocker Matysiak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Stocker Matysiak, FNP-C 2698 N Galloway Ave Ste 106, Mesquite, TX 75150-6389 Ph: (214) 845-6151	Nicole Stocker Matysiak, FNP-C 1650 Republic Pkwy Ste 140, Mesquite, TX 75150-6920 Ph: (888) 382-0161

Reviews and Comments

Nurse Practitioner Nurses in Mesquite, TX

Mrs. Doris K Egyawan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 Yosemite Trl, Mesquite, TX 75149 Phone: 240-422-6374
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Miss Andrea Roldan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3230 I-30, Ste. 100, Mesquite, TX 75150 Phone: 972-682-1791
Mr. Roselio Perez Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2110 N Galloway Ave Ste 108, Mesquite, TX 75150 Phone: 972-634-4871 Fax: 972-584-9607
Catherine N. Ebune, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3149 I-30, Suite A, Mesquite, TX 75150 Phone: 972-279-0781 Fax: 972-279-0785
Ulda Veneziani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Oates Dr Ste 138, Mesquite, TX 75150 Phone: 972-270-7600 Fax: 972-270-9968

Nicole Stocker Matysiak, FNP-C - Medicare Nurse Practitioner in Mesquite, TX