Active NPI
Lisa Scheyer Matson, M.D.
- Psychiatry Physician
- Enid, OK
National Provider Identifier
1083683569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23795
- Practice address
- 1204 W Willow Rd
Suite B
Enid, OK 73703-2531 - Phone
- (580) 237-4100
- Fax
- (580) 237-4109
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23795 | OK | Primary |
Addresses
Primary practice location
1204 W Willow Rd
Suite B
Enid, OK 73703-2531
Mailing address
1204 W Willow Rd
Suite B
Enid, OK 73703-2531
Phone (580) 237-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200047970A | Medicaid | OK |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428000899 | OK | Practitioner - Psychiatry | 3577517374 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kingfisher Clinic PLLC
Practice addresses (Care Compare)
1100 Hospital Cir
Kingfisher, OK 73750-5001
Phone (405) 375-2350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23795 | OK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingfisher Clinic PLLC | Current | Accepting new patients |
Locations
1100 Hospital Cir
Kingfisher, OK 73750
Phone (405) 375-2350
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e0aed929-e53b-4d96-a40c-36cb9539f12f/
Organizations & group practices 1
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": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083683569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 W WILLOW RD",
"address_2": "SUITE B",
"city": "ENID",
"state": "OK",
"postal_code": "737032531",
"telephone_number": "580-237-4100",
"fax_number": "580-237-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W WILLOW RD",
"address_2": "SUITE B",
"city": "ENID",
"state": "OK",
"postal_code": "737032531",
"telephone_number": "580-237-4100",
"fax_number": "580-237-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "LISA",
"middle_name": "SCHEYER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "23795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200047970A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.