Lauren Marie Mattiace, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

65402 Issued in NM

Practice address

999 W Amador Ave
Las Cruces, NM 88005-2739

Phone

(575) 527-5482

NPI assigned

Sep 29, 2021

Last updated

Oct 2, 2021By the provider in NPPES

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 NM

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amador Health Center, Inc.Group PAC ID 0244501633, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.mattiace.1@27572.direct.athenahealth.com
• Direct secure messaging: lauren.mattiace.p1@direct.ahc.nextgenshare.com

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.

• Amador Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1700178167

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Las Cruces HB Medical Services LLC

  dba MountainView Regional Medical Center

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1598446171
  Medicare reassignment
• Amador Health Center, Inc.

  • Community/Retail Pharmacy
  • Las Cruces, NM
  • NPI 1407343445
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1043982903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 PINECONE WAY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880126006",
            "telephone_number": "575-527-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIACE",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "65402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Home Care Services of New Mexico, LLC
• Matrix Outpatient Therapy, LLC
• Matthew James Associates, LLC
• Michael Nyle Matthews, O.D.
• Pauline Marie Matthews
• Scott Maughan
• Mauna Therapy LLC
• Christopher Maurer
• Tarah Maurice
• Haleyjean Maves

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.