Individual provider Active NPI

Madison Matyjas, PA-C

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1245882000
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61401505 Issued in WA
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2250886MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmatyjas798558@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 GroupGroup PAC ID 0547173866, 1,400 clinicians

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 Hospital, Federal Way, WA, CCN 500141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61401505WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoconnecticut, PLLC CurrentSince Apr 7, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Mar 15, 2021 Accepting new patients
Orthoconnecticut, PLLC CurrentSince Apr 7, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Jul 10, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.