Cora Nicole Mattie, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0003181 Issued in CO

Practice address

4045 Pecos St Ste 150
Denver, CO 80211-2561

Phone

(720) 730-7664

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Golden Peaks Family Medicine PC

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1710032677
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1043490121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 PECOS ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112561",
            "telephone_number": "720-730-7664",
            "fax_number": "720-815-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 PECOS ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112561",
            "telephone_number": "720-730-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIE",
        "first_name": "CORA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001867",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0003181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Matthews
• Phyllis Ann Matthews, NP
• Stephen Matthews, MD
• Yvonne E. Matthews, MS, CNS, LDN, BCHN
• Maren Matthias, LCSW
• Grace Mattimore, SLP-CCC
• Sophia Mattingly, LPCC
• Allison Mattivi
• Pamela A Mattson, MD
• Tara Kemery Mattson, FNP

• Medical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.