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MS. MCKENZIE ANNE MATLOCK PA
NPI 1912407032
Physician Assistant - Medical in Springfield, MO

Active since February 15, 2018PECOS Enrolled
3801 S NATIONAL AVE, DIV PED HOSPITALIST MED, SPRINGFIELD, MO 65807(417) 269-7728(417) 269-7729 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2026, Jan 17, 2020, Dec 27, 2018 and 2 more (5 updates tracked since 2018).

About Ms. Mckenzie Anne Matlock Pa NPPES

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

MS. MCKENZIE ANNE MATLOCK PA (NPI 1912407032) is an individual medical provider in Springfield, Missouri, licensed in Missouri (2018003866) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912407032
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MCKENZIE ANNE MATLOCKCredential: PA
Location Address3801 S NATIONAL AVE, DIV PED HOSPITALIST MEDSpringfield, MO 65807-5210
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (417) 269-7728 · Fax (417) 269-7729
Phone(417) 269-7728
Fax(417) 269-7729
Sole ProprietorNo
Enumeration DateFebruary 15, 2018
Last NPPES UpdateApril 14, 20265 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1912407032 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 MO · 2018003866
3801 S NATIONAL AVE, Springfield, MO 65807
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Ms. Mckenzie Anne Matlock Pa 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.

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.

KALEB AFSHAR
Anesthesiology
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
CHARIS DENOVI
Anesthesiologist Assistant
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6000
MICHAEL R FANCHER M.D.
Radiology (Diagnostic Radiology)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4056
GREGORY J KUTTER MD
Emergency Medicine
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6583
ETHEL MARIE ALLISON RN, MPH, BSN, CDE
Registered Nurse (Diabetes Educator)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4264
CHELSEA LANDGRAF PHARMD, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 576-8877
ROBERT D STRANG M.D.
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
SPRINGFIELD, MO 65807
Greene County (417) 885-3888
CHAD J MORGAN M.D.
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
SPRINGFIELD, MO 65807
Greene County (417) 885-3888

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 Mckenzie Matlock's NPI number?

The NPI number for Mckenzie Matlock is 1912407032. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Mckenzie Matlock located?

Mckenzie Matlock practices at 3801 S National Ave Div Ped Hospitalist Med, Springfield, MO 65807. The listed phone number is (417) 269-7728.

What is Mckenzie Matlock's specialty?

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

Is Mckenzie Matlock enrolled in Medicare?

Yes. Mckenzie Matlock is registered in the Medicare PECOS enrollment system.

What insurance does Mckenzie Matlock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Mckenzie Matlock 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 Mckenzie Matlock was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.