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KIMBERLY DEMATTIE APRN-CNP, LSW
NPI 1154834539
Nurse Practitioner - Psychiatric/Mental Health in Coal Grove, OH

Active since November 08, 2017PECOS Enrolled
205 MARION PIKE, COAL GROVE, OH 45638(740) 532-1188 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2021, Jun 5, 2020, Nov 8, 2017 (3 updates tracked since 2017).

About Kimberly Demattie Aprn-cnp, Lsw NPPES

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

KIMBERLY DEMATTIE APRN-CNP, LSW (NPI 1154834539) is an individual psychiatric/mental health provider in Coal Grove, Ohio, licensed in Ohio (APRN.CNP.0026784) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Point.

NPPES Registry Identity

NPI1154834539
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY DEMATTIECredential: APRN-CNP, LSW
Location Address205 MARION PIKECoal Grove, OH 45638-3165
Mailing AddressPo Box 1680Huntington, WV 25717-1680 · (304) 781-5151
Phone(740) 532-1188
Sole ProprietorNo
Enumeration DateNovember 8, 2017
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1154834539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0026784
Also ListedSocial WorkerTaxonomy 104100000X · License S.0028154 (OH)
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.444863 (OH)
205 MARION PIKE, Coal Grove, OH 45638
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Township Road 508 ESouth Point, OH 45680-7276 · Phone (740) 377-2712 · Fax (740) 377-2588

Other Identifiers 2

Medicaid0405888OH
Medicaid7100763640KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Demattie Aprn-cnp, Lsw 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 Reassignments

2

Medicare enrollment records show Kimberly Demattie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Health Systems Inc
Same address
Federally Qualified Health Center (FQHC)
205 MARION PIKE
Coal Grove, OH 45638
  • Reassigned Medicare billing, Ohio enrollment
  • 20 clinicians in this Medicare group
NPI 1629043708 (740) 532-1188
Ironton & Lawrence County Area Community Action Organization
0.1 mi
Primary Care
223 CARLTON DAVIDSON LN
Coal Grove, OH 45638
NPI 1417063207 (740) 532-3048

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 45638 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 17

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

KIMBERLY A OXLEY M.D.
Pediatrics
205 MARION PIKE
IRONTON, OH 45638
Lawrence County (740) 534-9195
CAITLIN HAZLETT
Nurse Practitioner (Family)
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-1188
AARON L. SCAIFE M.D.
Obstetrics & Gynecology
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-1188
MATTHEW SETH EGAN FNP-BC
Nurse Practitioner
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-1183
EMILLIE CRANK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-1188
WATKINS-TSAI IMAGING CENTER LLC
Radiologic Technologist (Computed Tomography)
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-6131
SHEA M GOODRICH MD
Pediatrics
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-1183
ADVANCED FAMILY MEDICAL CENTER LLC
Family Medicine (Geriatric Medicine)
205 MARION PIKE
COAL GROVE, OH 45638
Lawrence County (740) 532-5944

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 Kimberly Demattie's NPI number?

The NPI number for Kimberly Demattie is 1154834539. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Kimberly Demattie located?

Kimberly Demattie practices at 205 Marion Pike, Coal Grove, OH 45638. The listed phone number is (740) 532-1188.

What is Kimberly Demattie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Demattie enrolled in Medicare?

Yes. Kimberly Demattie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Demattie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Demattie reassigns Medicare benefits to 2 organizations: Valley Health Systems Inc (Coal Grove, OH) and Ironton & Lawrence County Area Community Action Organization (Coal Grove, OH). Each 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 Kimberly Demattie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Demattie accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kimberly Demattie 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 Kimberly Demattie was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.