MATTINGLY FAMILY PRACTICE PLLC
NPI 1326938713
Nurse Practitioner - Family in Owensboro, KY
About Mattingly Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTINGLY FAMILY PRACTICE PLLC (NPI 1326938713) is a healthcare organization registered as a family in Owensboro, Kentucky and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Skylar Mattingly, Aprn/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mattingly Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mattingly Family Practice PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D2328243
Mattingly Family Practice · Owensboro, KYFrequently 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 Mattingly Family Practice PLLC's NPI number?
The NPI number for Mattingly Family Practice PLLC is 1326938713. It was assigned to this organization in the NPPES registry on July 7, 2025.
Where is Mattingly Family Practice PLLC located?
Mattingly Family Practice PLLC is located at 3115 Commonwealth Ct Ste A3, Owensboro, KY 42303. The listed phone number is (270) 216-8896.
What is Mattingly Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mattingly Family Practice PLLC enrolled in Medicare?
Yes. Mattingly Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mattingly Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mattingly Family Practice PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mattingly Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2328243) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mattingly Family Practice PLLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mattingly Family Practice Pllc · NPI 1326938713
Family organization in Owensboro, Kentucky. Organization record, active in the CMS NPPES registry since July 7, 2025.
## Identity
- **NPI:** 1326938713 (Entity type: Organization)
- **Enumerated:** July 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Skylar Mattingly, APRN/OWNER
## Practice location
- **Address:** 3115 COMMONWEALTH CT STE A3, Owensboro, KY 42303-4452
- **Phone:** (270) 216-8896
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326938713) · Data from the CMS NPPES public registry.