Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elycia R Matushin, MD

Individual provider Family Medicine Physician · NPI 1255698783

Dr. Elycia R Matushin, MD is a Family Practice in Minneapolis, Minnesota. Graduated from Sanford School of Medicine of University of South Dakota in 2012, 14 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
MN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 W Broadway Ave
Minneapolis, MN 55411-2504
Phone: (612) 302-8200
Fax: (612) 302-8275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56637 (MN)

Record details

NPI number1255698783
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2012 (14 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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