Lynnette M Matteson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71005820A Issued in IN

Practice address

611 E Main Street
Suite 110
Petersburg, IN 47567-1270

Phone

(812) 354-8426

Fax

(812) 354-9134

NPI assigned

Sep 23, 2015

Last updated

Aug 15, 2016By the provider in NPPES

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 IN

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karefirst Indiana PCGroup PAC ID 4587968862, 15 clinicians

Newburgh Urgent Care LLCGroup PAC ID 6800029315, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karefirst Indiana PC

  • Nurse Practitioner
  • South Bend, IN
  • NPI 1639545882
  Medicare reassignment Care Compare group NPD
• Newburgh Urgent Care LLC

  dba Mercy Urgent Care

  • Nurse Practitioner
  • Newburgh, IN
  • NPI 1093132821
  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1497124192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "address_2": "SUITE 110",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671270",
            "telephone_number": "812-354-8426",
            "fax_number": "812-354-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN STREET",
            "address_2": "SUITE 110",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671270",
            "telephone_number": "812-354-8426",
            "fax_number": "812-354-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "LYNNETTE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005820A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary J Keepes, M.D.
• Mark A Luff, M.D.
• Chastidy Mader, FNP
• Joseph Clayton Martin, FNP-C
• Toni M Martin, N.P.
• Kelsey Marie Myers, PHARMD
• Rachael Pancake, OTD, OTR/L
• Pike County Area Rehabilitation Centers Inc
• Pike County Area Rehabilitation Centers Inc
• Pike County Area Rehabilitation Centers Inc

• Nurse Practitioner in Petersburg, IN
• Providers in Petersburg, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
• 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.