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MELISSA TROI MATEO PA-C
NPI 1235741802
Physician Assistant - Medical in Othello, WA

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment
1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Sep 7, 2021, Aug 17, 2020 (3 updates tracked since 2020).

About Melissa Troi Mateo Pa-c NPPES

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

MELISSA TROI MATEO PA-C (NPI 1235741802) is an individual medical provider in Othello, Washington, licensed in Washington (PA61222414) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1235741802
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELISSA TROI MATEOCredential: PA-C
Location Address1515 E COLUMBIA STOthello, WA 99344-1846
Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256 · Fax (509) 488-9939
Phone(509) 488-5256
Fax(509) 488-9939
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateAugust 17, 2020
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1235741802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WA · PA61222414✔ Licensed in WA · PA61157642
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61222414 (WA)
1515 E COLUMBIA ST, Othello, WA 99344
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Troi Keller

Secondary Practice Locations 2

Location 11051 Columbia AveConnell, WA 99326-8702 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 2601 Government RdMattawa, WA 99349-5120 · Phone (509) 488-5256 · Fax (509) 488-9939

Other Identifiers 1

OtherPA61222414WA · Doh License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Melissa Troi Mateo Pa-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 ID3274931753
PECOS Enrollment IDI20211014000018
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.

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.

LAURA ELY
Nurse Practitioner (Family)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
HEERA GOVINDARAJAN VENGUIDESVARANE DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MIKAYLA E ALONZO RDH
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
COLUMBIA BASIN HEALTH ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
DR. JI HYUNG CHOI D.D.S.
Dentist (General Practice)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
STEVEN PITCHER DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
SAMANTHA JO ESLINGER
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MICHELLE MARTINEZ
Nurse Practitioner (Psychiatric/Mental Health)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256

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 Melissa Mateo's NPI number?

The NPI number for Melissa Mateo is 1235741802. It was assigned to this individual provider in the NPPES registry on August 17, 2020. The provider is also known as Melissa Troi Keller.

Where is Melissa Mateo located?

Melissa Mateo practices at 1515 E Columbia St, Othello, WA 99344. The listed phone number is (509) 488-5256.

What is Melissa Mateo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Mateo enrolled in Medicare?

Yes. Melissa Mateo 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.

What insurance does Melissa Mateo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Melissa Mateo 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 Melissa Mateo was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.