NPPES file of Aug 9, 2026

Chantal Tiffany Therese Mattar, NP

Acute Care Nurse Practitioner · Detroit, MI

Chantal Tiffany Therese Mattar, NP is an acute care nurse practitioner with a practice address in Detroit, Michigan, and NPI 1366291809, issued on May 16, 2024. Check the license (Michigan 4704288255, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366291809
Name
Chantal Tiffany Therese Mattar
Credential
NP
Primary taxonomy
Acute Care Nurse Practitioner 363LA2100X
License number
4704288255 MI
Self-reported in NPPES; status is on the state search
Practice location
12121 Broadstreet Ave, Detroit, MI 48204
Phone
(313) 824-1000
Enumerated
May 16, 2024
Record last updated
Oct 6, 2024
Medicare enrollment
Enrolled (PECOS I20241025001961); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 12121 Broadstreet Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michele Adams-Calloway, CHWCommunity Health Worker1881458248
  2. Tiwanna Williams, FNP-BCFamily Nurse Practitioner1003519885

Verify Chantal Tiffany Therese Mattar in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 4704288255
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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94% fewer Medicare Part D claims than the average acute care nurse practitioner in 2024

35 Medicare Part D claims, against an average of 594 among the 13,133 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.

  1. Chantal Mattar35
  2. Specialty average594

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Nephrology Associates OF Michigan PCYpsilanti, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Chantal Tiffany Therese Mattar among 865 acute care nurse practitioner records in Michigan

Chantal Tiffany Therese Mattar, NP is one of 865 acute care nurse practitioner records with a practice address in Michigan. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 88% of them.

  • NPI issued2024 · 88% of these records are older, 6% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2023 · median 2019 among the 597 with a school on file
  • Record last updated2024 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Acute Care Nurse Practitioner providers in Michigan

There are 865 acute care nurse practitioner records in Michigan.

The 8 acute care nurse practitioner records with the nearest ZIP codes

  1. Jazmine RandolphDetroit, MI 482041487355087
  2. Crystal AielloDetroit, MI 482021194473827
  3. Jessica Baginski, MSN, RN, AGACNP-BCDetroit, MI 482021427864164
  4. Andrew BozimowskiDetroit, MI 482021235906108
  5. Sharon Eldridge, DNP, RN, ACNPC-AGDetroit, MI 482021184317125
  6. Maya Ghandour, NPDetroit, MI 482021013629179
  7. Mallory Goldman, AGACNP-BC, DNPDetroit, MI 482021124754320
  8. Keisha HarrisDetroit, MI 482021124954037

Common questions

What is Chantal Tiffany Therese Mattar, NP's NPI number?

Chantal Tiffany Therese Mattar, NP's National Provider Identifier (NPI) is 1366291809, issued on May 16, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Chantal Tiffany Therese Mattar, NP located?

The NPPES record lists a practice address at 12121 Broadstreet Ave, Detroit, MI, 48204. Phone: (313) 824-1000. Providers update this record themselves, so call before visiting.

How can I verify Chantal Tiffany Therese Mattar, NP's license?

NPPES lists Michigan license number 4704288255, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

How much does Chantal Tiffany Therese Mattar, NP prescribe under Medicare Part D?

In 2024, Chantal Tiffany Therese Mattar, NP had 35 Medicare Part D claims; the average among acute care nurse practitioner prescribers was 594. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.