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KATHLEEN RACHELLE MATTESON
NPI 1487105128
Physician Assistant in Johnson City, TN

Active since October 18, 2016PECOS Enrolled
378 MARKETPLACE DR STE 5, JOHNSON CITY, TN 37604(423) 282-0751(423) 282-1577 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2023, Mar 1, 2017, Oct 18, 2016 (3 updates tracked since 2016).

About Kathleen Rachelle Matteson NPPES

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

KATHLEEN RACHELLE MATTESON (NPI 1487105128) is an individual physician assistant in Johnson City, Tennessee and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487105128
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN RACHELLE MATTESON
Location Address378 MARKETPLACE DR STE 5Johnson City, TN 37604-2361
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 282-0751
Fax(423) 282-1577
Sole ProprietorNo
Enumeration DateOctober 18, 2016
Last NPPES UpdateNovember 24, 20233 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
✔ NPI 1487105128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
378 MARKETPLACE DR STE 5, Johnson City, TN 37604
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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 Rachelle Matteson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 3

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

JOHN C BAILEY FNP
Nurse Practitioner (Family)
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751
KATHERINE ELIZABETH ECHEVARRIA PA-C
Physician Assistant
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751
MRS. SAMANTHA LEE MILOSZ PA-C
Physician Assistant
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751

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 Matteson's NPI number?

The NPI number for Kathleen Matteson is 1487105128. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Where is Kathleen Matteson located?

Kathleen Matteson practices at 378 Marketplace Dr Ste 5, Johnson City, TN 37604. The listed phone number is (423) 282-0751.

What is Kathleen Matteson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathleen Matteson enrolled in Medicare?

Yes. Kathleen Matteson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Matteson was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.