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 2540 N Galloway Ave Ste 103, Mesquite, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 294-9655.

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
	2540 N Galloway Ave Ste 103, Mesquite, TX 75150-4897
	(469) 294-9655
	(469) 300-7260

Map and Direction

Provider's Profile

Full Name	Nicole Stocker Matysiak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2540 N Galloway Ave Ste 103, 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: 06/12/2025

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
363LF0000X	Nurse Practitioner - Family	AP121755 (Texas)	Primary
163W00000X	Registered Nurse	793825 (Texas)	Secondary

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	Imed Physician Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063809465 PECOS PAC ID: 6608103155 Enrollment ID: O20190807001189

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 2540 N Galloway Ave Ste 1032540n, Mesquite, TX 75150-6306 Ph: (469) 294-9655	Nicole Stocker Matysiak, FNP-C 2540 N Galloway Ave Ste 103, Mesquite, TX 75150-4897 Ph: (469) 294-9655

Reviews and Comments

Nurse Practitioner Nurses in Mesquite, TX

Mrs. Doris K Egyawan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Republic Pkwy Ste 190a, Mesquite, TX 75150 Phone: 469-251-0711 Fax: 469-213-3022
Sovannarat Floyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2698 N Galloway Ave Ste 105, Mesquite, TX 75150 Phone: 469-564-1026
Lilo Felton, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 Gus Thomasson Rd Ste 102, Mesquite, TX 75150 Phone: 469-730-0044
Mrs. Bincy Varughese, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1947 Cutler Dr, Mesquite, TX 75149 Phone: 214-606-5988
Ajoke Alfred Iyamu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2417 Autumndale Dr, Mesquite, TX 75150 Phone: 469-422-2470
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

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