Ellen Matteson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000536 Issued in CT

Practice address

489 Post Rd E
Westport, CT 06880-4435

Phone

(203) 226-3600

Fax

(203) 226-2555

NPI assigned

Feb 8, 2012

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

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Physician Assistant

Education

Rutgers New Jersey Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ematteson@directaddress.net

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.

• Lesly S Davidson, M.D.

  • Specialist
  • Mt Pleasant, SC
  • NPI 1861433997
  Medicare reassignment
• Advanced Dermatology & Laser Center, LLC

  • Dermatology Physician
  • Westport, CT
  • NPI 1063433969
  NPD (past)
• Lesly S. Davidson, MD, PA

  • Dermatology Physician
  • Mt Pleasant, SC
  • NPI 1003543190
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1427320282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804435",
            "telephone_number": "203-226-3600",
            "fax_number": "203-226-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804435",
            "telephone_number": "203-226-3600",
            "fax_number": "203-226-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Mason, RPH
• Robin Massa, RPH
• Susan Mastropietro, CD(DONA), CLC, CBE
• Nicholas Philip Matarazzo, M.D.
• Jenny Mathews, DDS MS PHD
• Matthew Love, Psy.D, LLC
• Cynthia R Mayer, PH.D.
• Karen Marie Mazzarese, LMFT
• Kathryn Zezima McCabe, LCSW
• Kerrine G McCallum, RN

• Medical Physician Assistant in Westport, CT
• Providers in Westport, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.
• 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.