CMS-1500 Box 24J / 33a • NPI
1003485285
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
4 DANA LN, BERWICK, ME, 03901-2767
✓ 9-Digit EDI 837 ZIP+4 (03901-2767)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003485285 (NICOLETTE CRYSTAL MATTEAU, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1003485285)
Medicare Beneficiaries
147
Total Billed Services
192
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$13,351.80
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 97 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 24 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 | 16 |
| Cephalexin Cephalexin | 12 | 12 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 34 | 34 |
| Fluticasone Propionate Fluticasone Propionate | 16 | 15 |
| Mupirocin Mupirocin | 13 | 13 |
| Prednisone Prednisone | 34 | 33 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003485285 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICOLETTE CRYSTAL MATTEAU, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4 DANA LN, BERWICK, ME, 03901-2767 |
| Practice Telephone / Fax | Tel: (207) 698-6700 |
| Administrative Mailing Address | 15 HOSPITAL DR, YORK, ME, 03909-1099 |
| Enumeration & Last Sync | Enumerated: 2021-06-22 | CMS Record Updated: 2022-09-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in BERWICK
🔒 Are you NICOLETTE CRYSTAL MATTEAU, PA-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICOLETTE CRYSTAL MATTEAU, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: ME | License: PA2195 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.