LAURA P MATTINGLY PA
NPI 1972692697
Physician Assistant in Fort Worth, TX

Active since October 12, 2006PECOS Enrolled
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2363(817) 735-2653 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laura P Mattingly Pa NPPES

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

LAURA P MATTINGLY PA (NPI 1972692697) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA03908) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972692697
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA P MATTINGLYCredential: PA
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335 · (817) 735-2363 · Fax (817) 735-2653
Fax(817) 735-2653
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 11, 2015
NPI 1972692697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA03908
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
855 MONTGOMERY ST, Fort Worth, TX 76107

Other Identifiers 10

Medicare UPINQ10282TX
Medicaid385175YS0QTX
OtherRAILROAD MEDICARETX · P01447517
Medicare PINTXB127070TX
Medicaid183901104TX
Medicaid183901101TX
Medicaid183901102TX
Medicare PIN8L6057TX
Other8245NNTX · Bcbs
Other8Y9490TX · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Laura P Mattingly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107

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 Laura Mattingly's NPI number?

The NPI number for Laura Mattingly is 1972692697. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Laura Mattingly located?

Laura Mattingly practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2363.

What is Laura Mattingly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Mattingly enrolled in Medicare?

Yes. Laura Mattingly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Mattingly was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.