Adam R Mattingly, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

508 Issued in MT

Practice address

1027 N 27TH St
Billings, MT 59101-0711

Phone

(406) 237-8855

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16076/brand/3/csg/1/fhir/r4

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.

• SCL Health Medical Group - Billings LLC

  • Clinic/Center
  • Billings, MT
  • NPI 1508289703

  MT

  Medicare reassignment NPD
• SCL Health Montana

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1083655997

  MT

  Medicare reassignment NPD
• SCL Health Medical Group - Billings, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1003701558
  NPD
• SCL Health Montana

  • Multi-Specialty Clinic/Center
  • Billings, MT
  • NPI 1922039890
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Beartooth Orthopaedic & Spine PC

  • Orthopaedic Surgery Physician
  • Cody, WY
  • NPI 1376765826
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1295836831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010711",
            "telephone_number": "406-237-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010711",
            "telephone_number": "406-237-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ADAM",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "356",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102405100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "612315900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000900383",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "315012",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Anne Mastel, DMD
• Terry Lee Mathis VIII
• Lisa Matovich-Brooke
• Angela Rose Matta, LCSW, LAC
• Carrie Matthaes, PHARMD
• Amy Elizabeth Mattox, PCLC
• Daniel Richard Mattson, CRNA
• Kenneth Mattson, ATC
• Marianne Mattson
• Kathleen C Mattucci, LCSW

• All providers in Billings, MT
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.