MATTIE RAYDON JOHNSON
NPI 1003537564
Nurse Practitioner - Family in Torrington, WY

Active since September 02, 2022PECOS EnrolledAccepts Medicare Assignment
625 ALBANY AVE, TORRINGTON, WY 82240(307) 532-2107 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattie Raydon Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTIE RAYDON JOHNSON (NPI 1003537564) is an individual family provider in Torrington, Wyoming, licensed in Wyoming (44901) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003537564
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMATTIE RAYDON JOHNSON
Location Address625 ALBANY AVETorrington, WY 82240-1530
Mailing Address625 Albany AveTorrington, WY 82240-1530
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
NPI 1003537564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WY · 44901
625 ALBANY AVE, Torrington, WY 82240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mattie Raydon Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658748173
PECOS Enrollment IDI20221111002264
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
625 ALBANY AVE
TORRINGTON, WY 82240
Nurse Practitioner (Family)
625 ALBANY AVE
TORRINGTON, WY 82240
Clinic/Center (Rural Health)
625 ALBANY AVE
TORRINGTON, WY 82240
Family Medicine
625 ALBANY AVE
TORRINGTON, WY 82240
Nurse Practitioner (Family)
625 ALBANY AVE
TORRINGTON, WY 82240
Clinic/Center (Rural Health)
625 ALBANY AVE
TORRINGTON, WY 82240
Family Medicine
625 ALBANY AVE
TORRINGTON, WY 82240
Family Medicine
625 ALBANY AVE, BANNER MEDICAL CLINIC
TORRINGTON, WY 82240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie Johnson's NPI number?

The NPI number for Mattie Johnson is 1003537564. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Mattie Johnson located?

Mattie Johnson practices at 625 Albany Ave, Torrington, WY 82240. The listed phone number is (307) 532-2107.

What is Mattie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mattie Johnson enrolled in Medicare?

Yes. Mattie Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mattie Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Oscar Insurance Company and UnitedHealthcare list Mattie Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mattie Johnson affiliated with any hospitals?

According to CMS data, Mattie Johnson is affiliated with Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mattie Johnson was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.