MICHELLE L MATTESON-KOME FNP/GNP
NPI 1669429387
Nurse Practitioner - Gerontology in Columbia, MO

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

Active since May 28, 2006

100/100

CMS Quality Rating

101 S FAIRVIEW RD, COLUMBIA, MO 65203(573) 884-7600(573) 884-8200 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2022, Apr 22, 2019 (2 updates tracked since 2019).

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About Michelle L Matteson-kome Fnp/gnp NPPES

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

MICHELLE L MATTESON-KOME FNP/GNP (NPI 1669429387) is an individual gerontology provider in Columbia, Missouri, licensed in Missouri (132000) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1669429387

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMICHELLE L MATTESON-KOMECredential: FNP/GNP

Location Address101 S FAIRVIEW RDColumbia, MO 65203-7637

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-7600

Fax(573) 884-8200

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration

✔ NPI 1669429387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LG0600X

License✔ Licensed in MO · 132000

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 132000 (MO)

101 S FAIRVIEW RD, Columbia, MO 65203

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

CHELMER L BARROW JR. DO

Internal Medicine