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MISS NICOLE LYNN MATTES M.S., RPA-C
NPI 1699005637
Physician Assistant - Surgical in Syracuse, NY

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111(315) 703-5079 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Miss Nicole Lynn Mattes M.s., Rpa-c NPPES

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

MISS NICOLE LYNN MATTES M.S., RPA-C (NPI 1699005637) is an individual surgical provider in Syracuse, New York, licensed in New York (013801) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1699005637
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS NICOLE LYNN MATTESCredential: M.S., RPA-C
Location Address301 PROSPECT AVESyracuse, NY 13203-1807
Mailing Address104 Union Ave, Suite 804Syracuse, NY 13203-1843 · (315) 703-5049 · Fax (315) 703-5079
Phone(315) 448-5111
Fax(315) 703-5079
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJuly 18, 2013
✔ NPI 1699005637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 013801
301 PROSPECT AVE, Syracuse, NY 13203
Open in Google Maps ↗

Other Identifiers 1

Medicare PINJ400011766NY

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

Miss Nicole Lynn Mattes M.s., Rpa-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.

PECOS PAC ID7416092044
PECOS Enrollment IDI20100305000855
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.

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.

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282
This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

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.

DR. JOSHUA AUSTIN JOHNSON DO
Family Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
TYLER GRANT RN
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
MELISSA SCHREIBER RD
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 726-7755
DR. JOAN E THORNTON MD
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 299-5451
DR. MIHAEL J PUC MD
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 448-5440
DAVID J. SEELEY M.D.
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5101
PAMELA MARIE HOWARD LPN
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
SAMI SAMAIN MD
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5536

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 Nicole Mattes's NPI number?

The NPI number for Nicole Mattes is 1699005637. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Nicole Mattes located?

Nicole Mattes practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Nicole Mattes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Mattes enrolled in Medicare?

Yes. Nicole Mattes 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 Nicole Mattes affiliated with any hospitals?

According to CMS data, Nicole Mattes is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Nicole Mattes was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.