Carol Matthys, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1944 Issued in WI

Practice address

2021 Cenex Dr
Suite J
Rice Lake, WI 54868-1891

Phone

(715) 234-7246

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Marshfield Clinic Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275696000000",
    "number": "1295833507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CENEX DR",
            "address_2": "SUITE J",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CENEX DR",
            "address_2": "SUITE J",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681891",
            "telephone_number": "715-234-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHYS",
        "first_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43952100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshfield Clinic, Inc.
• Gwen D Martin, MD
• Peggy Sue Martin, PT
• Peter E Martin, CRNA
• Elizabeth Renee Mason, LMT
• Raelene A Mattson, NP
• Rhonda Renee Mattson, CSAC
• Janice M McClelland
• Patricia A McGown
• Cheryl McMahon

• Nurse Practitioner in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.