JACQUELINE S MATTSON PA-C
NPI 1669286654
Physician Assistant - Medical in Staples, MN
About Jacqueline S Mattson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE S MATTSON PA-C (NPI 1669286654) is an individual medical provider in Staples, Minnesota, licensed in Minnesota (15422) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Lakewood Health System, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jacqueline S Mattson Pa-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakewood Health System
Critical Access Hospitals · Staples, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAPLES, MN 56479
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 Jacqueline Mattson's NPI number?
The NPI number for Jacqueline Mattson is 1669286654. It was assigned to this individual provider in the NPPES registry on February 3, 2025. The provider is also known as Jacqueline S Kern Pa-C.
Where is Jacqueline Mattson located?
Jacqueline Mattson practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.
What is Jacqueline Mattson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jacqueline Mattson enrolled in Medicare?
Yes. Jacqueline Mattson 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.
Is Jacqueline Mattson affiliated with any hospitals?
According to CMS data, Jacqueline Mattson is affiliated with Lakewood Health System.
When was this NPI record last updated?
The NPPES record for Jacqueline Mattson was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jacqueline S Mattson, PA-C · NPI 1669286654
Medical physician in Staples, Minnesota. Individual provider, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1669286654 (Entity type: Individual)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 15422 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 49725 COUNTY 83, Staples, MN 56479-5280
- **Phone:** (218) 894-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669286654) · Data from the CMS NPPES public registry.