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DINA LIN MATTINGLY
NPI 1023600871
Nurse Practitioner - Family in Boise, ID

Active since February 03, 2021PECOS Enrolled
6933 W EMERALD ST, BOISE, ID 83704(858) 207-8790 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dina Lin Mattingly NPPES

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

DINA LIN MATTINGLY (NPI 1023600871) is an individual family provider in Boise, Idaho, licensed in Idaho (63001) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023600871
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDINA LIN MATTINGLY
Location Address6933 W EMERALD STBoise, ID 83704-8616
Mailing Address330 W Anton DrMeridian, ID 83646-2066 · (858) 207-8861
Phone(858) 207-8790
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1023600871 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 ID · 63001
6933 W EMERALD ST, Boise, ID 83704
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dina Lin Mattingly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dina Mattingly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addi
7.4 mi
Psychiatric/Mental Health
1526 W USTICK RD STE 110
Meridian, ID 83646
  • Reassigned Medicare billing, Idaho enrollment
  • 7 clinicians in this Medicare group
NPI 1326877762 (208) 370-5888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 10

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

RACHAEL ELIZABETH AUSTIN LCSW
Social Worker
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
SAMANTHA KAITLIN LEGAULT FNP-C
Nurse Practitioner (Family)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
MR. JERRY NABARRETE-STUART JR. LSMW
Social Worker (School)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL HORIZONS, INC.
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
MR. NEILL J JENSON LPC, NCC, NCSC
Counselor
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL HORIZONS INC
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL SEASONS MENTAL HEALTH
Peer Specialist
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
KELLIE HUMPHERYS LCSW
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634

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 Dina Mattingly's NPI number?

The NPI number for Dina Mattingly is 1023600871. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Dina Mattingly located?

Dina Mattingly practices at 6933 W Emerald St, Boise, ID 83704. The listed phone number is (858) 207-8790.

What is Dina Mattingly's specialty?

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

Is Dina Mattingly enrolled in Medicare?

Yes. Dina Mattingly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dina Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Mattingly reassigns Medicare benefits to Addi (Meridian, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dina Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dina Mattingly accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Dina Mattingly 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.

When was this NPI record last updated?

The NPPES record for Dina Mattingly was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.