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MATTISON ANGOVE PA-C
NPI 1255210480
Physician Assistant in Jamestown, NY

Active since September 01, 2025PECOS Enrolled
1465 FOOTE AVENUE EXT, JAMESTOWN, NY 14701(716) 526-4041 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Sep 1, 2025 (2 updates tracked since 2025).

About Mattison Angove Pa-c NPPES

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

MATTISON ANGOVE PA-C (NPI 1255210480) is an individual physician assistant in Jamestown, New York, licensed in New York (034422) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255210480
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMATTISON ANGOVECredential: PA-C
Location Address1465 FOOTE AVENUE EXTJamestown, NY 14701-9383
Mailing Address1465 Foote Avenue ExtJamestown, NY 14701-9383 · (716) 526-4041 · Fax (716) 526-4161
Phone(716) 526-4041
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2025
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1255210480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034422
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1465 FOOTE AVENUE EXT, Jamestown, NY 14701
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Other Names 1

Former Name (1)Mattison Wallin Pa-c

Secondary Practice Locations 2

Location 1987 R C Hoag DrSalamanca, NY 14779-1365 · Phone (716) 945-5894 · Fax (716) 242-6345
Location 2275 Thomas Indian School DrIrving, NY 14081-9341 · Phone (716) 532-5582 · Fax (716) 242-6344

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mattison Angove Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840789731
PECOS Enrollment IDI20251030002686
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 14701 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 4

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

MISS ALLISON CLAIRE BLAKE PA-C
Physician Assistant
1465 FOOTE AVENUE EXT
JAMESTOWN, NY 14701
Chautauqua County (716) 526-4041
MRS. MICHELLE A SWABIK LMFT
Marriage & Family Therapist
1465 FOOTE AVENUE EXT
JAMESTOWN, NY 14701
Chautauqua County (716) 526-4041
JAMESTOWN PSYCHIATRIC PC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1465 FOOTE AVENUE EXT
JAMESTOWN, NY 14701
Chautauqua County (716) 526-4041
CASSANDRA V BROWN NP
Nurse Practitioner (Psychiatric/Mental Health)
1465 FOOTE AVENUE EXT
JAMESTOWN, NY 14701
Chautauqua County (716) 526-4041

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 Mattison Angove's NPI number?

The NPI number for Mattison Angove is 1255210480. It was assigned to this individual provider in the NPPES registry on September 1, 2025. The provider is also known as Mattison Wallin Pa-C.

Where is Mattison Angove located?

Mattison Angove practices at 1465 Foote Avenue Ext, Jamestown, NY 14701. The listed phone number is (716) 526-4041.

What is Mattison Angove's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mattison Angove enrolled in Medicare?

Yes. Mattison Angove is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mattison Angove was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.