1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Nurse Practitioner
  6. NPI Profile

MRS. LEE ANN MATSON NURSE PRACTITIONER
NPI 1861977548
Nurse Practitioner - Family in South Bend, IN

Active since September 28, 2018PECOS Enrolled
86.75/100
CMS Quality Rating
4401 W WESTERN AVE STE C, SOUTH BEND, IN 46619(574) 725-7006(574) 807-9614 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2021, Apr 6, 2021, Sep 28, 2018 (3 updates tracked since 2018).

About Mrs. Lee Ann Matson Nurse Practitioner NPPES

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

MRS. LEE ANN MATSON NURSE PRACTITIONER (NPI 1861977548) is an individual family provider in South Bend, Indiana, licensed in Indiana (71011065A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861977548
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LEE ANN MATSONCredential: NURSE PRACTITIONER
Location Address4401 W WESTERN AVE STE CSouth Bend, IN 46619-2645
Mailing AddressPo Box 746720Atlanta, GA 30374-6720 · (312) 733-9730 · Fax (773) 866-8014
Phone(574) 725-7006
Fax(574) 807-9614
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 28, 2018
Last NPPES UpdateMay 2, 20253 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1861977548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71011065A
4401 W WESTERN AVE STE C, South Bend, IN 46619
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1410 S Main StGoshen, IN 46526-3947 · Phone (574) 533-2510
Location 24401 W Western Ave Ste CSouth Bend, IN 46619-2645 · Phone (574) 725-7006 · Fax (574) 807-9614

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Mrs. Lee Ann Matson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810397791
PECOS Enrollment IDI20210615000556
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46619 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.47
Improvement Activities40
Cost89.8

Other Providers at the Same Location NPPES 4

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

DONNA LYNN WOODWARD NP-C
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
SUSAN FREE
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
AUDREY S GODDARD LMHC
Counselor (Mental Health)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
MRS. GLENDORA G POMPEY M.D.
Family Medicine
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006

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 Lee Matson's NPI number?

The NPI number for Lee Matson is 1861977548. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Where is Lee Matson located?

Lee Matson practices at 4401 W Western Ave Ste C, South Bend, IN 46619. The listed phone number is (574) 725-7006.

What is Lee Matson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lee Matson enrolled in Medicare?

Yes. Lee Matson is registered in the Medicare PECOS enrollment system.

What insurance does Lee Matson accept?

Health plans from Anthem Blue Cross and Blue Shield list Lee Matson 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.

Is Lee Matson affiliated with any hospitals?

According to CMS data, Lee Matson is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Lee Matson was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.