Individual provider Active NPI

Alina Mattison, FNP

  • Nurse Practitioner
  • Salem, OR
National Provider Identifier
1275203671
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202109210NP-PP Issued in OR
Practice address
350 Miller St SE Ste 200
Salem, OR 97302-4272
Phone
(503) 400-3434
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202109210NP-PP OR Primary

Addresses

Primary practice location

350 Miller St SE Ste 200
Salem, OR 97302-4272

Mailing address

3675 Ballyntyne Rd S
Salem, OR 97302-9609
Phone (503) 931-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000827 NV Practitioner - Nurse Practitioner 3870950512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202109210NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Parry, M.D., PC Nurse Practitioner CurrentSince Oct 17, 2023 Accepting new patients
Arete Medical LLC CurrentSince Sep 23, 2021 Accepting new patients
Scott Parry, M.D., PC PastSince Jul 9, 2023 Accepting new patients

Locations

135 S State College Blvd
Ste 350
Brea, CA 92821

2850 W Horizon Ridge Pkwy
Ste 141
Henderson, NV 89052
Phone (702) 623-5077

7730 W Cheyenne Ave
Ste 104
Las Vegas, NV 89129
Phone (702) 655-8535

6630 S McCarran Blvd
Ste B17
Reno, NV 89509

350 Miller St SE
Ste 200
Salem, OR 97302
Phone (503) 400-3434

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1275203671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BALLYNTYNE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029609",
            "telephone_number": "503-931-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024272",
            "telephone_number": "503-400-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "ALINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202109210NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.