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
- Last updated
- Jul 8, 2007
- 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
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
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kingfisher Family Clinic
- Family Medicine Physician
- Kingfisher, OK
- NPI 1851780183
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": [],
"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.