KELLY LEE MATTSON DNP, APRN
NPI 1639975964
Nurse Practitioner - Family in Long Prairie, MN

Q: What is Kelly Mattson's NPI number?

The NPI number for Kelly Mattson is 1639975964. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Q: What is Kelly Mattson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mattson was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment

50 CENTRACARE DR, LONG PRAIRIE, MN 56347(320) 732-2131(320) 732-6913 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2025, Mar 2, 2025, Feb 19, 2025 (3 updates tracked since 2025).

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About Kelly Lee Mattson Dnp, Aprn NPPES

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

KELLY LEE MATTSON DNP, APRN (NPI 1639975964) is an individual family provider in Long Prairie, Minnesota, licensed in Minnesota (13219) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Centracare Health System - Long Prairie, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639975964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY LEE MATTSONCredential: DNP, APRN

Location Address50 CENTRACARE DRLong Prairie, MN 56347-2100

Mailing Address521 10th Ave NeBrainerd, MN 56401-2843 · (218) 851-4105

Phone(320) 732-2131

Fax(320) 732-6913

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 19, 2025

Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1639975964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MN · 13219

50 CENTRACARE DR, Long Prairie, MN 56347

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lee Mattson Dnp, Aprn 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.

PECOS PAC ID446751549

PECOS Enrollment IDI20250829002782

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241326

Location50 Centracare DriveLong Prairie, MN 56347 · Todd County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56347 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 11

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

JENNIFER MARIE LOVE FNP

Nurse Practitioner (Family)