Individual provider Active NPI

April Joann Matzenbacher, P-MHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Hadlock, WA
National Provider Identifier
1003547100
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61320750 Issued in WA
Practice address
161 Ann Kivley Dr
Port Hadlock, WA 98339-9436
Phone
(720) 937-4416
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61320750 WA Primary

Addresses

Primary practice location

161 Ann Kivley Dr
Port Hadlock, WA 98339-9436

Mailing address

2023 E. Sims Way
PMB 116
Port Townsend, WA 98368-6905
Phone (360) 889-9331

Other names 1

  • April Joann Jones Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL AdvancedMD Direct
Other URL https://www.therapynotes.com/app/ Direct
Other URL https://my.phone.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428002334 WA Practitioner - Nurse Practitioner 9234509126 Reassigns benefits to 1 organization
Practice locations: Port Hadlock, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

21907 64TH Ave W
Suite 200
Mountlake Terrace, WA 98043-6200
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61320750WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Healthcare, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jun 23, 2023 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

1800 Cooper Point Rd SW
Ste 19
Olympia, WA 98502
Phone (360) 972-0290

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1003547100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 E. SIMS WAY",
            "address_2": "PMB 116",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-889-9331",
            "fax_number": "831-855-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ANN KIVLEY DR",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399436",
            "telephone_number": "720-937-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZENBACHER",
        "first_name": "APRIL",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "P-MHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61320750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cloud encryption",
            "address_1": "1800 Cooper Point Rd SW Ste 19",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985021179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com/app/",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone.com (fax, voicemail)",
            "address_1": "161 Ann Kivley Dr",
            "city": "Port Hadlock",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983399436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://my.phone.com/",
            "affiliation": "N",
            "endpointDescription": "faxes, voicemail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure fax and voicemail",
            "address_1": "161 Ann Kivley Dr",
            "city": "Port Hadlock",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983399436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "JONES",
            "middle_name": "JOANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Hadlock, WA

Sources for this page

Verify at the official NPI Registry.