ANDREA M MATTISON PAC
NPI 1902852072
Physician Assistant - Medical in Kenosha, WI

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
3400 MARKET LN, KENOSHA, WI 53144(262) 551-4600(262) 551-4630 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea M Mattison Pac NPPES

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

ANDREA M MATTISON PAC (NPI 1902852072) is an individual medical provider in Kenosha, Wisconsin, licensed in Wisconsin (1391) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2001).

NPPES Registry Identity

NPI1902852072
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANDREA M MATTISONCredential: PAC
Location Address3400 MARKET LNKenosha, WI 53144-3430
Mailing Address3400 Market LnKenosha, WI 53144-3430 · (262) 551-4600 · Fax (262) 551-4630
Fax(262) 551-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 13, 2016
NPI 1902852072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 1391
3400 MARKET LN, Kenosha, WI 53144

Other Identifiers 3

Medicaid41928000WI
Medicare PIN008032250WI
Medicare UPINP33764

Accepted Insurance

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

Andrea M Mattison Pac 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 ID7810974151
PECOS Enrollment IDI20040702001167
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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
98 services98 patients
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.
95 services88 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
52 services44 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims28 services$4.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
3400 MARKET LN
KENOSHA, WI 53144
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Physician Assistant
3400 MARKET LN
KENOSHA, WI 53144
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Physician Assistant
3400 MARKET LN
KENOSHA, WI 53144

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 Andrea Mattison's NPI number?

The NPI number for Andrea Mattison is 1902852072. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Andrea Mattison located?

Andrea Mattison practices at 3400 Market Ln, Kenosha, WI 53144. The listed phone number is (262) 551-4600.

What is Andrea Mattison's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andrea Mattison enrolled in Medicare?

Yes. Andrea Mattison 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.

What insurance does Andrea Mattison accept?

Health plans from Network Health list Andrea 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.

Is Andrea Mattison affiliated with any hospitals?

According to CMS data, Andrea Mattison is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Andrea Mattison was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.