Individual provider Active NPI

Lisa Scheyer Matson, M.D.

  • Psychiatry Physician
  • Enid, OK
National Provider Identifier
1083683569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23795 Issued in OK
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200047970AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 3 clinicians

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

LicenseStateTypeSpecialty
23795OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Clinic PLLC CurrentSince Oct 3, 2017 Accepting new patients

Locations

1100 Hospital Cir
Kingfisher, OK 73750
Phone (405) 375-2350

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.