LISA A MATTINGLY MD
NPI 1104186907
Family Medicine in Port Charlotte, FL

Q: What is Lisa Mattingly's NPI number?

The NPI number for Lisa Mattingly is 1104186907. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Q: What is Lisa Mattingly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mattingly was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 25, 2012

1050 LOVELAND BLVD, PORT CHARLOTTE, FL 33980(941) 764-0301 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lisa A Mattingly Md NPPES

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

LISA A MATTINGLY MD (NPI 1104186907) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (ME146476) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1104186907

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA A MATTINGLYCredential: MD

Location Address1050 LOVELAND BLVDPort Charlotte, FL 33980-1813

Mailing Address2710 Rew Cir Ste 200Ocoee, FL 34761-2967 · (888) 373-0013

Phone(941) 764-0301

Sole ProprietorNo

Enumeration DateMay 25, 2012

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1104186907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME146476

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1050 LOVELAND BLVD, Port Charlotte, FL 33980

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Other Identifiers 2

Medicaid200444630AOK

Other430265YRHZOK · Medicare Group Ptan

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Other Providers at the Same Location NPPES 3

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

DR. ELENA HERSCHDORFER DO

Family Medicine

1050 LOVELAND BLVD
PORT CHARLOTTE, FL 33980

Charlotte County (941) 833-6531

KRISTINE GAYLE BARRETT ARNP

Nurse Practitioner (Primary Care)

1050 LOVELAND BLVD, CARE HERE CHARLOTTE COUNTY HEALTH CENTER
PORT CHARLOTTE, FL 33980

Charlotte County (877) 423-1330

MEDICAL RISK SOLUTIONS

Family Medicine

1050 LOVELAND BLVD
PORT CHARLOTTE, FL 33980

Charlotte County (941) 764-0301

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 Lisa Mattingly's NPI number?

The NPI number for Lisa Mattingly is 1104186907. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Lisa Mattingly located?

Lisa Mattingly practices at 1050 Loveland Blvd, Port Charlotte, FL 33980. The listed phone number is (941) 764-0301.

What is Lisa Mattingly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mattingly was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.