Organization Active NPI

Mattingly Family Practice PLLC

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1326938713
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MATTINGLY FAMILY PRACTICE PLLC
Practice address
3115 Commonwealth CT Ste A3
Owensboro, KY 42303-4452
Phone
(270) 216-8896
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Skylar Mattingly, DNP, APRN, FNP-CNPI 1750080289
Title
Aprn/Owner
Phone
(270) 216-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3115 Commonwealth CT Ste A3
Owensboro, KY 42303-4452

Mailing address

1919 Mohawk Dr
Owensboro, KY 42301-4932
Phone (207) 216-8896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926002452 KY Part B Supplier - Clinic/Group Practice 1557866795 Receives reassigned benefits from 1 practitioner
Practice locations: Owensboro, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2328243Mattingly Family Practice3115 Commonwealth Court Suite a-3, Owensboro, KY 42303Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

3115 Commonwealth Ct
Ste A3
Owensboro, KY 42303
Phone (270) 216-8896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1326938713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MOHAWK DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014932",
            "telephone_number": "207-216-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COMMONWEALTH CT STE A3",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034452",
            "telephone_number": "270-216-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTINGLY FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "270-216-8896",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.