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NICOLE PATRICE MATTERA
NPI 1811546716
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since September 04, 2019

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2026, Sep 4, 2019 (2 updates tracked since 2019).

About Nicole Patrice Mattera NPPES

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

NICOLE PATRICE MATTERA (NPI 1811546716) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1811546716
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameNICOLE PATRICE MATTERA
Location AddressPSC 477 BOX 2Fpo, AP 96306-0001
Mailing AddressPsc 477 Box 25310Fpo, AP 96306-0254
Phone(315) 264-3958
Sole ProprietorNo
Enumeration DateSeptember 4, 2019
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1811546716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Other Providers at the Same Location NPPES 10

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

DR. TREY JEREMY COKE DDS
Dentist
PSC 477 BOX 2
FPO, AP 96306
(954) 618-3286
JESSICA MAE MARTIN P.A.
Physician Assistant
PSC 477 BOX 2
FPO, AP 96306
DR. NICHOLAS ALEXANDER MECKFESSEL DDS
Dentist (General Practice)
PSC 477 BOX 2
FPO, AP 96306
(775) 910-1872
STEPHEN MARK JAGGI OD
Optometrist
PSC 477 BOX 2
FPO, AP 96306
(315) 264-4696
ANTHONY YEU SUN CHIA D.D.S.
Dentist
PSC 477 BOX 2
FPO, AP 96306
(315) 264-3612
DR. THANH-NHAN THOMAS VU DMD
Dentist
PSC 477 BOX 2
FPO, AP 96306
(315) 264-3612
DR. ANTHONY LENNY VELASQUEZ M.D.
Family Medicine
PSC 477 BOX 2
FPO, AP 96306
DR. DIRK A WARREN M.D.
Preventive Medicine (Aerospace Medicine)
PSC 477 BOX 2
FPO AP, NAF ATSUGI 96306

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 Mattera's NPI number?

The NPI number for Nicole Mattera is 1811546716. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Nicole Mattera located?

Nicole Mattera practices at Psc 477 Box 2, Fpo, AP 96306. The listed phone number is (315) 264-3958.

What is Nicole Mattera's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Nicole Mattera was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.