Jane Louise Matzen, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

C053429 Issued in IA

Practice address

317 Vanness Ave
Ottumwa, IA 52501-1434

Phone

(641) 682-8145

Fax

(641) 682-8857

NPI assigned

Sep 22, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1366438681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-1474",
            "fax_number": "319-356-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 VANNESS AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011434",
            "telephone_number": "641-682-8145",
            "fax_number": "641-682-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZEN",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "C053429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "20689",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425165",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy R. Mascaro, D.O.
• Amanda Rae Mason, CADC
• Ashleigh Mathews, ARNP
• Lisa Kaye Matthiesen, R.D.
• Lora Mattson
• Kristin Mayson, ATC
• Elvin W McCarl, M.D.
• Wendy Kay McCarty, CDAC PROVIDOR
• Dominique McCormack, RN
• Cyndi J McCormick, D.O.

• Nurse Practitioner in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.