ALISHA DAWN MATTERN FNP-C
NPI 1528719085
Nurse Practitioner - Family in Immokalee, FL
About Alisha Dawn Mattern Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISHA DAWN MATTERN FNP-C (NPI 1528719085) is an individual family provider in Immokalee, Florida, licensed in Florida (APRN11025669) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Alisha Dawn Mattern Fnp-c 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
2Medicare enrollment records show Alisha Mattern reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Immokalee, FL 34142
- Reassigned Medicare billing, Texas enrollment
- 14 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 169 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34142 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
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 Alisha Mattern's NPI number?
The NPI number for Alisha Mattern is 1528719085. It was assigned to this individual provider in the NPPES registry on January 15, 2022.
Where is Alisha Mattern located?
Alisha Mattern practices at 1120 S 1st St, Immokalee, FL 34142. The listed phone number is (239) 867-3400.
What is Alisha Mattern's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alisha Mattern enrolled in Medicare?
Yes. Alisha Mattern 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 Alisha Mattern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Mattern reassigns Medicare benefits to 2 organizations: Seminole Tribe Of Florida (Immokalee, FL) and Mercy East Ambulatory Services LLC (Chesterfield, MO). 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 Alisha Mattern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alisha Mattern was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alisha Dawn Mattern, FNP-C · NPI 1528719085
Family physician in Immokalee, Florida. Individual provider, active in the CMS NPPES registry since January 15, 2022.
## Identity
- **NPI:** 1528719085 (Entity type: Individual)
- **Enumerated:** January 15, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11025669 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 S 1ST ST, Immokalee, FL 34142-4303
- **Phone:** (239) 867-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Seminole Tribe Of Florida (NPI 1851662472, Immokalee, FL); Mercy East Ambulatory Services LLC (NPI 1134673148, Chesterfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528719085) · Data from the CMS NPPES public registry.