CHRIS MATULA
NPI 1881761567
Social Worker in Menasha, WI
NPI Status: Active since November 29, 2006
- Individual
- Male
- Years of Experience 43
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHRIS MATULA
This page provides the complete NPI Profile along with additional information for Chris Matula, a provider established in Menasha, Wisconsin with a medical specialization in Social Worker and more than 43 years of experience. The healthcare provider is registered in the NPI registry with number 1881761567 assigned on November 2006. The practitioner's primary taxonomy code is 104100000X with license number 658 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1881761567
- Provider Name
- CHRIS MATULA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1095 MIDWAY RD MENASHA, WI 54952
- Location Phone
- (920) 720-2300
- Mailing Address
- PO BOX 8003 APPLETON, WI 54912
- Mailing Phone
- (920) 996-3298
- Medical School Name
- OTHER
- Graduation Year
- 1983
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A social worker like Chris Matula helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 658
- License State
- WI
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Standard - EPO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39674100 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Chris Matula is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Chris Matula is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6103956396
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100615000352
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 8 | 1 | 7 | 6 | 1 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 14 | 6 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 4 + 6 + 2 + 5 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1881761567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619968773 | JOANNA MORGAN CSAC Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093744666 | KRISTEN E OWENS MA,LPC Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1992802888 | JULIE A FEIDER MSE, LPC Individual | Counselor (Professional) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1194818344 | KAREN ADAIR MS Individual | Counselor (Mental Health) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1922182971 | TRICIA M HECHIMOVICH MSW Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1093882896 | ROCHELLE ALPERT Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1558438259 | MATTHEW A BAYER Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-3700 |
| 1750458493 | ELENA EARL Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1144397845 | JOHN BELD Individual | Psychiatry & Neurology (Psychiatry) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1316014079 | THOMAS GROH Individual | Psychologist | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1841367513 | MARY LENHARD Individual | Counselor | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1548337132 | JANE PRATT LCSW Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1730256348 | LINDA VANWYK Individual | Social Worker | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1578622635 | STEVEN BEAU Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1891854964 | JAMES CRUTHERS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1023177193 | LYNNE DREWS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1902965072 | KAREN HESS Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1003976473 | DARLENE LEARY Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1619037090 | BARBARA LUTZEWITZ Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
| 1124188594 | GLORIA KLOEHN Individual | Counselor (Addiction (Substance Use Disorder)) | 1095 MIDWAY RD MENASHA, WI 54952 (920) 720-2300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881761567, enumerated in the NPI registry as an "individual" on November 29, 2006
The provider is located at 1095 Midway Rd Menasha, Wi 54952 and the phone number is (920) 720-2300
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider has more than 43 years of experience.
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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