IMAN MATTOX RN
NPI 1417613985
Nurse Anesthetist, Certified Registered in Wichita, KS
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 enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Iman Mattox reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67206
- Reassigned Medicare billing, Kansas enrollment
- 76 clinicians in this Medicare group
Chanute, KS 66720
- Reassigned Medicare billing, Kansas enrollment
- 75 clinicians in this Medicare group
Owasso, OK 74055
- Reassigned Medicare billing, Oklahoma enrollment
- 101 clinicians in this Medicare group
Kearney, NE 68845
- Reassigned Medicare billing, Nebraska enrollment
- 187 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Kansas and Oklahoma enrollments
- 37 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Kansas enrollment
- 43 clinicians in this Medicare group
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Beverly Hills, CA 90211
- Reassigned Medicare billing, California enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
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, KSPratt Regional Medical Center
Acute Care Hospitals · Pratt, KSNmc Health
Acute Care Hospitals · Newton, KSNeosho Memorial Regional Medical Center
Critical Access Hospitals · Chanute, KSIntegris Health Ponca City
Acute Care Hospitals · Ponca City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67206 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
WICHITA, KS 67206
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 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.
Where is Iman Mattox located?
Iman Mattox practices at 8080 E Central Ave Ste 250, Wichita, KS 67206. The listed phone number is (316) 686-7327.
What is Iman Mattox's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Iman Mattox enrolled in Medicare?
Yes. Iman Mattox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Iman Mattox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Iman Mattox reassigns Medicare benefits to 8 organizations: Wichita Anesthesiology Chartered (Wichita, KS), Clinical Colleagues Ks PA (Chanute, KS), New Era Anesthesia Services PLLC (Owasso, OK), Bryan Hospital Kearney (Kearney, NE), Emergenchealth PLLC (Fort Worth, TX) and 3 more organizations, listed in the Medicare section above. Each 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 Iman Mattox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Iman Mattox accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Oklahoma list Iman Mattox 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.
Is Iman Mattox affiliated with any hospitals?
According to CMS data, Iman Mattox is affiliated with Centura St. Catherine Hospital-Garden City, Pratt Regional Medical Center, Nmc Health, Neosho Memorial Regional Medical Center and Integris Health Ponca City.
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 3 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.
# Iman Mattox, RN · NPI 1417613985
Nurse Anesthetist, Certified Registered physician in Wichita, Kansas. Individual provider, active in the CMS NPPES registry since November 9, 2021.
## Identity
- **NPI:** 1417613985 (Entity type: Individual)
- **Enumerated:** November 9, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 558169 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8080 E CENTRAL AVE STE 250, Wichita, KS 67206
- **Phone:** (316) 686-7327 · **Fax:** (316) 686-1557
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Wichita Anesthesiology Chartered (NPI 1407848450, Wichita, KS); Clinical Colleagues Ks PA (NPI 1548813967, Chanute, KS); New Era Anesthesia Services PLLC (NPI 1285560425, Owasso, OK); Bryan Hospital Kearney (NPI 1033875380, Kearney, NE); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417613985) · Data from the CMS NPPES public registry.