Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IMAN MATTOX RN
NPI 1417613985
Nurse Anesthetist, Certified Registered in Wichita, KS

Q: What is Iman Mattox's NPI number?

The NPI number for Iman Mattox is 1417613985. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Iman Mattox's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Iman Mattox was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 November 09, 2021

8080 E CENTRAL AVE STE 250, WICHITA, KS 67206(316) 686-7327(316) 686-1557 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Nov 9, 2021 (2 updates tracked since 2021).

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About Iman Mattox Rn NPPES

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

IMAN MATTOX RN (NPI 1417613985) is an individual nurse anesthetist, certified registered in Wichita, Kansas, licensed in Kansas (558169) and active in the NPI registry since November 2021. He is affiliated with Centura St. Catherine Hospital-garden City and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417613985

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameIMAN MATTOXCredential: RN

Location Address8080 E CENTRAL AVE STE 250Wichita, KS 67206

Mailing Address8080 E Central Ave Ste 250Wichita, KS 67206-2367 · (316) 686-7327 · Fax (316) 686-1557

Phone(316) 686-7327

Fax(316) 686-1557

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 9, 2021

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1417613985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in KS · 558169✔ Licensed in OK · 227865

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95199822 (CA)

8080 E CENTRAL AVE STE 250, Wichita, KS 67206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., 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 and accepts Medicare assignment

Iman Mattox Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486098472

PECOS Enrollment IDI20240217000686

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

37 services36 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170023

Location401 East SpruceGarden City, KS 67846 · Finney County

Emergency services Birthing friendly

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170027

Location200 Commodore StPratt, KS 67124 · Pratt County

Emergency services Birthing friendly

Nmc Health

Acute Care Hospitals · Newton, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170103

Location600 Medical Center DriveNewton, KS 67114 · Harvey County

Emergency services

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171380

Location629 South PlummerChanute, KS 66720 · Neosho County

Emergency services

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.

GEORGE FINDLEY CRNA

Nurse Anesthetist, Certified Registered