IRENA MATTINGLY AGNP-C
NPI 1457040818
Nurse Practitioner - Primary Care in Portland, OR

Q: What is Irena Mattingly's NPI number?

The NPI number for Irena Mattingly is 1457040818. It was assigned to this individual provider in the NPPES registry on May 2, 2023. The provider is also known as Irena Gochenour Rn.

Q: What is Irena Mattingly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: Is Irena Mattingly enrolled in Medicare?

No. Irena Mattingly has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Irena Mattingly was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since May 02, 2023Opted out of Medicare · through Jan 27, 2027

6214 SE MILWAUKIE AVE, PORTLAND, OR 97202(503) 908-6616(225) 351-9980 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, May 2, 2023 (2 updates tracked since 2023).

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About Irena Mattingly Agnp-c NPPES

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

IRENA MATTINGLY AGNP-C (NPI 1457040818) is an individual primary care provider in Portland, Oregon, licensed in Oregon (10007639) and active in the NPI registry since May 2023. She has opted out of Medicare through January 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457040818

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameIRENA MATTINGLYCredential: AGNP-C

Location Address6214 SE MILWAUKIE AVEPortland, OR 97202-5417

Mailing Address6812 Se Drew StMilwaukie, OR 97222-1830 · (503) 707-4064

Phone(503) 908-6616

Fax(225) 351-9980

Sole ProprietorYes

Enumeration DateMay 2, 2023

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1457040818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in OR · 10007639

6214 SE MILWAUKIE AVE, Portland, OR 97202

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Other Names 1

Former Name (1)Irena Gochenour Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Irena Mattingly Agnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 27, 2025 through January 27, 2027.

Opt-Out Effective DateJanuary 27, 2025

Opt-Out In Effect ThroughJanuary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALISON MAE SCHULZ ND

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