KATHLEEN MATTISON
NPI 1407239833
Dentist in Cook, MN
About Kathleen Mattison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MATTISON (NPI 1407239833) is an individual dentist in Cook, Minnesota, licensed in Minnesota (D13519) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Kathleen Mattison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Mattison's NPI number?
The NPI number for Kathleen Mattison is 1407239833. It was assigned to this individual provider in the NPPES registry on July 2, 2015.
Where is Kathleen Mattison located?
Kathleen Mattison practices at 12 S River St, Cook, MN 55723. The listed phone number is (218) 361-3149.
What is Kathleen Mattison's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Kathleen Mattison enrolled in Medicare?
Yes. Kathleen Mattison is registered in the Medicare PECOS enrollment system.
What insurance does Kathleen Mattison accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 5 other insurers list Kathleen Mattison 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 Kathleen Mattison was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kathleen Mattison · NPI 1407239833
Dentist provider in Cook, Minnesota. Individual provider, active in the CMS NPPES registry since July 2, 2015.
## Identity
- **NPI:** 1407239833 (Entity type: Individual)
- **Enumerated:** July 2, 2015
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D13519 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 S RIVER ST, Cook, MN 55723-8131
- **Phone:** (218) 361-3149
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1407239833) · Data from the CMS NPPES public registry.