Individual provider Active NPI

Geraldine Matteson, PA

  • Physician Assistant
  • Hyannis, MA
National Provider Identifier
1033144043
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
638 Issued in MA
Practice address
489 Bearses Way
A-4
Hyannis, MA 02601-2707
Phone
(508) 771-4092
Fax
(508) 771-4092
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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 638 MA Primary

Addresses

Primary practice location

489 Bearses Way
A-4
Hyannis, MA 02601-2707

Mailing address

489 Bearses Way
A-4
Hyannis, MA 02601-2707
Phone (508) 771-4092

Other names 1

  • Geraldine Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
638MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical PC Past Accepting new patients
Mass General Brigham Urgent Care LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1033144043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 BEARSES WAY",
            "address_2": "A-4",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012707",
            "telephone_number": "508-771-4092",
            "fax_number": "508-771-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BEARSES WAY",
            "address_2": "A-4",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012707",
            "telephone_number": "508-771-4092",
            "fax_number": "508-771-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "GERALDINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALDINE",
            "last_name": "BARNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.