Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
SHELBY MATTKE
NPI 1982385373
Nurse Practitioner - Family in Hays, KS
Active since July 27, 2023
About Shelby Mattke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY MATTKE (NPI 1982385373) is an individual family provider in Hays, Kansas, licensed in Kansas (53-85818-081) and active in the NPI registry since July 2023.
NPPES Registry Identity
NPI1982385373
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY MATTKE
Location Address3012 BROADWAY AVEHays, KS 67601-1916
Mailing Address3012 Broadway AveHays, KS 67601-1916 · (785) 301-2250
Phone(785) 301-2250
Sole ProprietorYes
Enumeration DateJuly 27, 2023
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1982385373 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 53-85818-081
Also ListedRegistered NurseTaxonomy 163W00000X · License 158400 (KS)
3012 BROADWAY AVE, Hays, KS 67601
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Surgery (Plastic and Reconstructive Surgery)
3012 BROADWAY AVE
HAYS, KS 67601
HAYS, KS 67601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982385373, enumerated as an "individual" on July 27, 2023.
The provider is located at 3012 BROADWAY AVE HAYS, KS 67601 and the phone number is (785) 301-2250.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
