JENNIFER SOLOMON MATTOX NP
NPI 1174634356
Nurse Practitioner - Primary Care in Novato, CA

Q: What is Jennifer Mattox's NPI number?

The NPI number for Jennifer Mattox is 1174634356. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Jennifer Mattox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mattox was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 31, 2006PECOS Enrolled

97 SAN MARIN DR, NOVATO, CA 94945(415) 899-7525(415) 899-7623 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Solomon Mattox Np NPPES

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

JENNIFER SOLOMON MATTOX NP (NPI 1174634356) is an individual primary care provider in Novato, California, licensed in California (RN- 514466, NP- 9992) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174634356

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameJENNIFER SOLOMON MATTOXCredential: NP

Location Address97 SAN MARIN DRNovato, CA 94945-1100

Mailing AddressKaiser Permanente Novato Medical Offices, 97 San Marin Dr.Novato, CA 94945 · (415) 899-7525 · Fax (415) 899-7623

Phone(415) 899-7525

Fax(415) 899-7623

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1174634356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · RN- 514466, NP- 9992

97 SAN MARIN DR, Novato, CA 94945

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Other Identifiers 1

MedicaidRN514466CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Solomon Mattox Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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 20

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

MS. ZIBA ANSARI-JABERI PHARM.D.

Pharmacist