Active NPI
Madison Matyjas, PA-C
- Physician Assistant
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61401505
- Practice address
- 34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708 - Phone
- (253) 722-6698
- Fax
- (253) 835-5511
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA61401505 | WA | |
| Physician Assistant | 363A00000X | PA61401505 | WA | Primary |
Addresses
Primary practice location
34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Mailing address
34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Phone (253) 722-6698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2250886 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmatyjas798558@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016002268 | CT | Practitioner - Physician Assistant | 0749511137 | Reassigns benefits to 2 organizations |
| I20230804003054 | WA | Practitioner - Physician Assistant | 0749511137 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
34503 9TH Ave S
Federal Way, WA 98003-8726
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
- St Francis Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61401505 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoconnecticut, PLLC | Current | Accepting new patients | |
| The Charlotte Hungerford Hospital | Current | Accepting new patients | |
| Orthoconnecticut, PLLC | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Physician Assistant | Past | Accepting new patients |
Locations
2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702
131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
34509 9th Ave S
Ste 204
Federal Way, WA 98003
Phone (253) 835-5510
Interoperability endpoints
- madison.matyjas@xdr.hhchealthdirect.org
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Surgery Physician
- Federal Way, WA
- NPI 1356560056
-
- Nurse Practitioner
- Bonney Lake, WA
- NPI 1497194922
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Family Medicine Physician
- Enumclaw, WA
- NPI 1801825641
-
- Orthopaedic Surgery Physician
- Danbury, CT
- NPI 1770507345
-
- Psychiatric Hospital Unit
- Torrington, CT
- NPI 1639255870
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1245882000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-722-6698",
"fax_number": "253-835-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-722-6698",
"fax_number": "253-835-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATYJAS",
"first_name": "MADISON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61401505",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61401505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2250886",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmatyjas798558@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34509 9th Ave S Ste 204",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980038708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.