1. Home
  2. Directory
  3. Michigan
  4. East Lansing
  5. Physician Assistant
  6. NPI Profile

AMANDA MARIE MATTINGLEY PA-C
NPI 1922502947
Physician Assistant - Surgical in East Lansing, MI

Active since March 23, 2018PECOS Enrolled
2900 HANNAH BLVD STE 216, EAST LANSING, MI 48823(517) 364-8100 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, May 13, 2020, Sep 5, 2019 and 1 more (4 updates tracked since 2018).

About Amanda Marie Mattingley Pa-c NPPES

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

AMANDA MARIE MATTINGLEY PA-C (NPI 1922502947) is an individual surgical provider in East Lansing, Michigan, licensed in Michigan (5601009055) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922502947
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMANDA MARIE MATTINGLEYCredential: PA-C
Location Address2900 HANNAH BLVD STE 216East Lansing, MI 48823
Mailing Address2900 Hannah Blvd Ste 216East Lansing, MI 48823-5382 · (517) 364-8100
Phone(517) 364-8100
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1922502947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601009055
2900 HANNAH BLVD STE 216, East Lansing, MI 48823
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Marie Mattingley Pa-c 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 2

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

AMY WIMBERLY-KACEL NP
Nurse Practitioner (Family)
2900 HANNAH BLVD STE 216
EAST LANSING, MI 48823
Ingham County (517) 364-8100
DR. KOSISOCHI MICHAEL OBINWANNE M.D
Surgery
2900 HANNAH BLVD STE 216
EAST LANSING, MI 48823
Ingham County (173) 648-1005

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 Amanda Mattingley's NPI number?

The NPI number for Amanda Mattingley is 1922502947. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Amanda Mattingley located?

Amanda Mattingley practices at 2900 Hannah Blvd Ste 216, East Lansing, MI 48823. The listed phone number is (517) 364-8100.

What is Amanda Mattingley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanda Mattingley enrolled in Medicare?

Yes. Amanda Mattingley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Mattingley was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.