Era Louise Mattingly, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019019 Issued in IL

Practice address

11522 White Pine Ave
Marion, IL 62959-8379

Phone

(618) 889-4834

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meds Inpatient Services Associates, IncGroup PAC ID 1557865250, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
• Salem Township Hospital Hospital, Salem, IL, CCN 141345

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4
• Direct secure messaging: emattingly20318@sih.direct-ci.com
• Direct secure messaging: emattingly557020@direct-ehr-ssmhc.com

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.

• Meds Inpatient Services Associates, Inc

  • Hospitalist Physician
  • Centralia, IL
  • NPI 1154215895
  Medicare reassignment Care Compare group NPD
• Statera Health Care, LLC

  • Emergency Medicine Physician
  • Harrisburg, IL
  • NPI 1043874449
  Medicare reassignment NPD
• Vohra Wound Physicians of Il, S.C.

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1790080505
  Medicare reassignment NPD
• Franklin Hospital District

  • Critical Access Hospital
  • Benton, IL
  • NPI 1699778951
  NPD (past)

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

• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1295739548
  Care Compare affiliation
• St Mary'S Hospital, Centralia, Illinois

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1033670062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11522 WHITE PINE AVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629598379",
            "telephone_number": "618-889-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11522 WHITE PINE AVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629598379",
            "telephone_number": "618-889-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ERA",
        "middle_name": "LOUISE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lauren Massa, M.A. CCC-SLP
• Masterful Therapy
• Christopher D Masterson, RRT
• Jennifer Lynn Masterson, PT
• Kaitlyn Leeann Maston
• Jonathan Lee Mattingly, LPN
• James Kenton Mattox, LCSW
• Loghan Matyi, REGISTERED NURSE
• Ashley Maxam, DMD
• Dana Nicole Maxfield, RN

• Family Nurse Practitioner in Marion, IL
• Providers in Marion, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.