CODY MATSON
NPI 1568974822
Nurse Practitioner - Psychiatric/Mental Health in Coeur D Alene, ID

Q: What is Cody Matson's NPI number?

The NPI number for Cody Matson is 1568974822. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Q: What is Cody Matson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Cody Matson was last updated on May 20, 2024. 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.

Active since October 26, 2017PECOS Enrolled

2199 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814(208) 625-4888(208) 625-5734 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2021, Mar 3, 2021, Feb 18, 2020 and 2 more (5 updates tracked since 2017).

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About Cody Matson NPPES

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

CODY MATSON (NPI 1568974822) is an individual psychiatric/mental health provider in Coeur D Alene, Idaho, licensed in Washington (AP60967912) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568974822

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCODY MATSON

Location Address2199 W IRONWOOD CENTER DRCoeur D Alene, ID 83814-2639

Mailing Address1312 N Monroe St Ste 271Spokane, WA 99201-2623 · (208) 718-2528 · Fax (509) 232-5547

Phone(208) 625-4888

Fax(208) 625-5734

Sole ProprietorNo

Enumeration DateOctober 26, 2017

Last NPPES UpdateMay 20, 20245 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1568974822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP60967912✔ Licensed in IA · G140540

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License NP67131 (ID)

Also ListedNurse PractitionerTaxonomy 363L00000X · License NP67131 (ID)

2199 W IRONWOOD CENTER DR, Coeur D Alene, ID 83814

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Matson 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.

Medicare Billing Reassignments

Medicare enrollment records show Cody Matson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System

19 mi

Internal Medicine

15533 E BROADWAY AVE
Spokane Valley, WA 99037

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1336902345 (509) 530-4260

Spokane Behavioral Health LLC

29 mi

Psychiatric Hospital

104 W 5TH AVE
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
42 clinicians in this Medicare group

NPI 1932698107 (509) 992-1888

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

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.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 6

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

LAURA CHRISTINE ADAMS MSN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)