NPIMap

Individual provider Active NPI

Katrina Marie Mattek, PA-C

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1023494085
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3592 Issued in WI
Practice address
227500 Rib Mountain Dr Ste 200
Wausau, WI 54401-5052
Phone
(715) 870-2162
NPI assigned
Jul 31, 2015
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3592 WI Primary

Addresses

Primary practice location

227500 Rib Mountain Dr Ste 200
Wausau, WI 54401-5052

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916002511 WI Practitioner - Physician Assistant 5092022533 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

1901 Westwood Ctr Blvd
Wausau, WI 54401-2892
Phone (715) 847-0477

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 870-2162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3592WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 10, 2018 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Oct 19, 2015 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 19, 2015 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 10, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 10, 2018 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jun 24, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

227500 Rib Mountain Dr
Ste 200
Rib Mountain, WI 54401
Phone (715) 870-2162

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1023494085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227500 RIB MOUNTAIN DR STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015052",
            "telephone_number": "715-870-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "54449",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTEK",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.