Individual provider Active NPI

Andrea Matson, DO

  • Surgery Physician
  • Moses Lake, WA
National Provider Identifier
1487031753
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OP61222129 Issued in WA
Practice address
1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone
(509) 793-9792
Fax
(509) 764-3287
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OP61222129 WA Primary
Surgery Physician 208600000X 008634 AZ

Addresses

Primary practice location

1550 S Pioneer Way
Moses Lake, WA 98837-4613

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715

Other identifiers 1

IdentifierTypeStateIssuer
2194787MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amatson2036895@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200702000674 AZ Practitioner - General Surgery 3173946522 Reassigns benefits to 1 organization
I20220225000257 WA Practitioner - General Surgery 3173946522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians

Practice addresses (Care Compare)

1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone (509) 793-9780

1550 S Pioneer Way
Suite 115
Moses Lake, WA 98837-4618

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

Hospital & facility affiliations

  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008634AZMDSurgery Physician
OP61222129WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Public Hospital District 1 Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Physician Group of Arizona Inc CurrentSince Aug 1, 2020 Accepting new patients
Grant County Public Hospital District 1 Family Medicine Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Physician Group of Arizona Inc CurrentSince Aug 1, 2020 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Feb 1, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Jul 1, 2024 Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

555 N 18th St
Ste 300
Phoenix, AZ 85006
Phone (602) 234-0004

1331 N 7th St
Ste 190
Phoenix, AZ 85006
Phone (602) 507-4242

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

11511 Canterwood Blvd
Ste 140
Gig Harbor, WA 98332
Phone (253) 530-2940

8420 Aspi Blvd
Moses Lake, WA 98837
Phone (509) 793-9781

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

1550 S Pioneer Way
Ste 305
Moses Lake, WA 98837

1616 S Pioneer Way
Moses Lake, WA 98837

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: amatson2036895@wm.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1487031753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374613",
            "telephone_number": "509-793-9792",
            "fax_number": "509-764-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "ANDREA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP61222129",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "008634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194787",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amatson2036895@wm.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "EPIC EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 S Pioneer Way",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988374613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.