JESSICA KIERSTEN MATTSON PA-C
NPI 1669637807
Physician Assistant - Medical in Roseville, CA

Q: What is Jessica Mattson's NPI number?

The NPI number for Jessica Mattson is 1669637807. It was assigned to this individual provider in the NPPES registry on July 28, 2008. The provider is also known as Miss Jessica Kiersten Rey Pa-C.

Q: What is Jessica Mattson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mattson was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2008PECOS Enrolled

3400 DOUGLAS BLVD STE 170, ROSEVILLE, CA 95661(916) 740-3721 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Dec 2, 2024, Jul 12, 2022 and 7 more (10 updates tracked since 2016).

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About Jessica Kiersten Mattson Pa-c NPPES

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

JESSICA KIERSTEN MATTSON PA-C (NPI 1669637807) is an individual medical provider in Roseville, California, licensed in California (58311) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669637807

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA KIERSTEN MATTSONCredential: PA-C

Location Address3400 DOUGLAS BLVD STE 170Roseville, CA 95661-4281

Mailing Address3400 Douglas Blvd Ste 170Roseville, CA 95661-4281 · (916) 740-3721

Phone(916) 740-3721

Sole ProprietorNo

Enumeration DateJuly 28, 2008

Last NPPES UpdateApril 1, 202610 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1669637807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 58311

3400 DOUGLAS BLVD STE 170, Roseville, CA 95661

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Other Names 1

Former Name (1)Miss Jessica Kiersten Rey Pa-c

Other Identifiers 1

MedicaidH107724CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kiersten Mattson Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims28 services$5.66 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers146 claims146 services$186.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NARY RATH ACSW

Counselor