KATHERINE MATTISON FNP-C
NPI 1104215888
Nurse Practitioner in Moreno Valley, CA
About Katherine Mattison Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MATTISON FNP-C (NPI 1104215888) is an individual nurse practitioner in Moreno Valley, California, licensed in California (NP95001682) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Katherine Mattison Fnp-c 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
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 Katherine Mattison's NPI number?
The NPI number for Katherine Mattison is 1104215888. It was assigned to this individual provider in the NPPES registry on January 17, 2015.
Where is Katherine Mattison located?
Katherine Mattison practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (951) 486-4000.
What is Katherine Mattison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katherine Mattison enrolled in Medicare?
Yes. Katherine Mattison 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.
When was this NPI record last updated?
The NPPES record for Katherine Mattison was last updated on January 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Katherine Mattison, FNP-C · NPI 1104215888
Nurse Practitioner physician in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since January 17, 2015.
## Identity
- **NPI:** 1104215888 (Entity type: Individual)
- **Enumerated:** January 17, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP95001682 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 26520 CACTUS AVE, Moreno Valley, CA 92555-3927
- **Phone:** (951) 486-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104215888) · Data from the CMS NPPES public registry.