GENNAYA LYNN MATTISON M.D.
NPI 1407266455
Surgery - Plastic and Reconstructive Surgery in Salem, OR
About Gennaya Lynn Mattison M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENNAYA LYNN MATTISON M.D. (NPI 1407266455) is an individual plastic and reconstructive surgery provider in Salem, Oregon, licensed in Oregon (198745) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Gennaya Lynn Mattison M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
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 Gennaya Mattison's NPI number?
The NPI number for Gennaya Mattison is 1407266455. It was assigned to this individual provider in the NPPES registry on April 29, 2014.
Where is Gennaya Mattison located?
Gennaya Mattison practices at 350 Miller St SE Ste 200, Salem, OR 97302. The listed phone number is (503) 400-3434.
What is Gennaya Mattison's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Gennaya Mattison enrolled in Medicare?
Yes. Gennaya Mattison is registered in the Medicare PECOS enrollment system.
What insurance does Gennaya Mattison accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Gennaya 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 Gennaya Mattison was last updated on May 10, 2021. 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.
# Gennaya Lynn Mattison, M.D. · NPI 1407266455
Plastic and Reconstructive Surgery physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since April 29, 2014.
## Identity
- **NPI:** 1407266455 (Entity type: Individual)
- **Enumerated:** April 29, 2014
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 198745 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 MILLER ST SE STE 200, Salem, OR 97302-4272
- **Phone:** (503) 400-3434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 10, 2021
- **Other identifiers:** Other 198745 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1407266455) · Data from the CMS NPPES public registry.