Individual provider Active NPI

Kristie Nicole Mattix, DNP

  • Family Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1033733225
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89898 Issued in OK
Practice address
3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2405
Phone
(918) 331-2415
Fax
(918) 331-2551
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 89898 OK
Family Nurse Practitioner 363LF0000X 89898 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2405

Mailing address

3400 E Frank Phillips Blvd Ste 501
Bartlesville, OK 74006-2405
Phone (918) 331-2415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200728000082 OK Practitioner - Nurse Practitioner 7214351923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

Practice addresses (Care Compare)

2334 SE Washington Blvd
Suite B
Bartlesville, OK 74006-7257
Phone (918) 331-9184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
89898OKMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 26, 2020 Accepting new patients
Hillcrest Urgent Care, LLC CurrentSince Aug 1, 2025 Accepting new patients
St. John Physicians, Inc. CurrentSince Jul 26, 2020 Accepting new patients

Locations

3450 E Frank Phillips Blvd
Ste 100
Bartlesville, OK 74006
Phone (918) 338-3777

2334 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 331-3187

3450 E Frank Phillips Blvd
Ste 200D
Bartlesville, OK 74006

3400 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2441

3400 E Frank Phillips Blvd
Ste 501
Bartlesville, OK 74006
Phone (918) 331-2415

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1623 S Utica Ave
Tulsa, OK 74104
Phone (918) 392-5100

Dept 2184
Tulsa, OK 74182

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 3

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1033733225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 501",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062405",
            "telephone_number": "918-331-2415",
            "fax_number": "918-331-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 501",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062405",
            "telephone_number": "918-331-2415",
            "fax_number": "918-331-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIX",
        "first_name": "KRISTIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "OK",
            "license": "89898",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.