JESSICA NICOLE MATTINGLY APRN
NPI 1255874731
Nurse Practitioner - Family in Louisville, KY

Q: What is Jessica Mattingly's NPI number?

The NPI number for Jessica Mattingly is 1255874731. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Q: What is Jessica Mattingly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mattingly was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 01, 2016PECOS Enrolled

7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219(502) 964-4357(502) 966-5948 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2020, Mar 12, 2020, Nov 12, 2018 (3 updates tracked since 2018).

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About Jessica Nicole Mattingly Aprn NPPES

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

JESSICA NICOLE MATTINGLY APRN (NPI 1255874731) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3010918) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255874731

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA NICOLE MATTINGLYCredential: APRN

Location Address7926 PRESTON HWY STE 106Louisville, KY 40219-3848

Mailing Address255 Anna Lee DrTaylorsville, KY 40071-9083 · (502) 216-8827

Phone(502) 964-4357

Fax(502) 966-5948

Sole ProprietorNo

Enumeration DateDecember 1, 2016

Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1255874731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3010918

7926 PRESTON HWY STE 106, Louisville, KY 40219

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Other Identifiers 1

Medicaid7100495750KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Nicole Mattingly Aprn 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 40219 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

MR. JAMES GREGORY HOWELL NP

Nurse Practitioner