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MARY LOUISE MATTISON APRN
NPI 1790311918
Nurse Practitioner - Pediatrics in Bradenton, FL

Active since March 19, 2020PECOS Enrolled
5255 OFFICE PARK BLVD STE 110, BRADENTON, FL 34203(941) 755-7000(941) 755-7088 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 9, 2023, Mar 30, 2020, Mar 19, 2020 (3 updates tracked since 2020).

About Mary Louise Mattison Aprn NPPES

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

MARY LOUISE MATTISON APRN (NPI 1790311918) is an individual pediatrics provider in Bradenton, Florida, licensed in Florida (APRN11006564) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790311918
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY LOUISE MATTISONCredential: APRN
Location Address5255 OFFICE PARK BLVD STE 110Bradenton, FL 34203-3443
Mailing Address5255 Office Park Blvd Ste 110Bradenton, FL 34203-3443 · (941) 755-7000 · Fax (941) 755-7088
Phone(941) 755-7000
Fax(941) 755-7088
Sole ProprietorNo
Enumeration DateMarch 19, 2020
Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1790311918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · APRN11006564
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11006564 (FL)
5255 OFFICE PARK BLVD STE 110, Bradenton, FL 34203
Open in Google Maps ↗

Other Names 1

Other Name (5)Mary Louise Johnson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Louise Mattison Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34203 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

MAYRELIS SILVA APRN
Nurse Practitioner (Pediatrics)
5255 OFFICE PARK BLVD STE 110
BRADENTON, FL 34203
Manatee County (941) 755-7000
DR. JAYNE ELIZABETH HOLT M.D.
Pediatrics
5255 OFFICE PARK BLVD STE 110
BRADENTON, FL 34203
Manatee County (941) 755-7000
AIMARY MARINO GONZALEZ MD
Pediatrics
5255 OFFICE PARK BLVD STE 110
BRADENTON, FL 34203
Manatee County (941) 755-7000
SHAUN M. ARMSTRONG MD
Pediatrics
5255 OFFICE PARK BLVD STE 110
BRADENTON, FL 34203
Manatee County (941) 755-7000
JUSTO MANUEL ROMAN MD
Pediatrics
5255 OFFICE PARK BLVD STE 110, APC PEDIATRICS
BRADENTON, FL 34203
Manatee County (941) 755-7000
ALEXANDRA FASULA LAMBERT ARNP
Nurse Practitioner (Pediatrics)
5255 OFFICE PARK BLVD STE 110, BRADENTON
BRADENTON, FL 34203
Manatee County (941) 755-7000

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 Mary Mattison's NPI number?

The NPI number for Mary Mattison is 1790311918. It was assigned to this individual provider in the NPPES registry on March 19, 2020. The provider is also known as Mary Louise Johnson.

Where is Mary Mattison located?

Mary Mattison practices at 5255 Office Park Blvd Ste 110, Bradenton, FL 34203. The listed phone number is (941) 755-7000.

What is Mary Mattison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Mattison enrolled in Medicare?

Yes. Mary Mattison is registered in the Medicare PECOS enrollment system.

What insurance does Mary Mattison accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Mary Mattison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mattison was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.