JALEN TYLAR MATTESON MD
NPI 1902692007
Student in an Organized Health Care Education/Training Program in Rochester, NY
About Jalen Tylar Matteson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALEN TYLAR MATTESON MD (NPI 1902692007) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jalen Tylar Matteson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Jalen Matteson's NPI number?
The NPI number for Jalen Matteson is 1902692007. It was assigned to this individual provider in the NPPES registry on April 16, 2025.
Where is Jalen Matteson located?
Jalen Matteson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-1384.
What is Jalen Matteson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jalen Matteson enrolled in Medicare?
Yes. Jalen Matteson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jalen Matteson was last updated on April 16, 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.
# Jalen Tylar Matteson, MD · NPI 1902692007
Student in an Organized Health Care Education/Training Program provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1902692007 (Entity type: Individual)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-1384
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902692007) · Data from the CMS NPPES public registry.