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JENNA MARIE MATTOCKS PNP
NPI 1376909242
Nurse Practitioner - Pediatrics in Alexandria, MN

Active since January 07, 2016PECOS Enrolled
610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-5123(320) 763-5749 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, May 20, 2022, Jan 21, 2016 (3 updates tracked since 2016).

About Jenna Marie Mattocks Pnp NPPES

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

JENNA MARIE MATTOCKS PNP (NPI 1376909242) is an individual pediatrics provider in Alexandria, Minnesota, licensed in Minnesota (CNP 4319) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376909242
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNA MARIE MATTOCKSCredential: PNP
Location Address610 30TH AVE WAlexandria, MN 56308-3426
Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-5123 · Fax (320) 763-5749
Phone(320) 763-5123
Fax(320) 763-5749
Sole ProprietorNo
Enumeration DateJanuary 7, 2016
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1376909242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · CNP 4319
610 30TH AVE W, Alexandria, MN 56308
Open in Google Maps ↗

Other Identifiers 3

Other1376909242MN · Npi
Other2074717MN · Rn License
OtherCNP 4319MN · Cnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Jenna Marie Mattocks Pnp 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 56308 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

JESSICA M BUTANIS DO
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
ANDREA M BOE MD
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 759-2640
JUSTIN T CONLEY MD
Pediatrics
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
TIMOTHY F BUSIAN DO
Family Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
MICHAEL L BRISTOW DO
Family Medicine
610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
RACHEL LEE ARICKX FNP-C
Nurse Practitioner (Family)
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540
ANDREW STORM BSN, RN
Registered Nurse (Addiction (Substance Use Disorder))
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2508
HEATHER RENEE LUCKEN SCHOLL FNP
Nurse Practitioner
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540

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 Jenna Mattocks's NPI number?

The NPI number for Jenna Mattocks is 1376909242. It was assigned to this individual provider in the NPPES registry on January 7, 2016.

Where is Jenna Mattocks located?

Jenna Mattocks practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Jenna Mattocks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jenna Mattocks enrolled in Medicare?

Yes. Jenna Mattocks is registered in the Medicare PECOS enrollment system.

What insurance does Jenna Mattocks accept?

Health plans from Medica list Jenna Mattocks 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 Jenna Mattocks was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.