KATHERINE MATTISON FNP-C
NPI 1104215888
Nurse Practitioner in Moreno Valley, CA

Active since January 17, 2015PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4000 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1104215888
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE MATTISONCredential: FNP-C
Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927
Mailing Address11175 Campus St, Csp 11015Loma Linda, CA 92350-1700
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 17, 2015
NPI 1104215888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP95001682
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

26520 CACTUS AVE, Moreno Valley, CA 92555

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.

PECOS PAC ID941511521
PECOS Enrollment IDI20150623002815
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services18 patients

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

Radiology (Diagnostic Radiology)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Pediatrics (Pediatric Critical Care Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Anesthesiology
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Internal Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Internal Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Internal Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Internal Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Internal Medicine (Cardiovascular Disease)
26520 CACTUS AVE
MORENO VALLEY, CA 92555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104215888, enumerated as an "individual" on January 17, 2015.

The provider is located at 26520 CACTUS AVE MORENO VALLEY, CA 92555 and the phone number is (951) 486-4000.

Nurse Practitioner with taxonomy code 363L00000X.