Active NPI
Matthew Mattis, PA-C
- Physician Assistant
- Torrington, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 625 Albany Ave
Torrington, WY 82240-1530 - Phone
- (307) 532-2107
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
625 Albany Ave
Torrington, WY 82240-1530
Mailing address
625 Albany Ave
Torrington, WY 82240-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140821002641 | WY | Practitioner - Physician Assistant | 3375761026 | Reassigns benefits to 3 organizations |
| I20251216003033 | NE | Practitioner - Physician Assistant | 3375761026 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Box Butte General HospitalCommunity Hospital
Practice addresses (Care Compare)
2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244
2101 Box Butte Ave
Alliance, NE 69301-4444
2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660
625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107
PO Box
Suite 678
Alliance, NE 69301
Hospital & facility affiliations
- Community Hospital
- Platte County Hospital
- Box Butte General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.9 of 100
- Quality
- 68.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3323 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Box Butte General Hospital | Current | Accepting new patients | |
| Box Butte General Hospital | Current | Accepting new patients | |
| Box Butte General Hospital | Current | Accepting new patients | |
| Platte County Hospital | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Community Hospital | Current | Accepting new patients | |
| Community Hospital | Current | Accepting new patients | |
| Box Butte General Hospital | Current | Accepting new patients | |
| Platte County Hospital | Current | Accepting new patients | |
| Community Hospital | Past | Accepting new patients |
Locations
2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660
2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244
2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534
2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181
625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801
201 14th St
Wheatland, WY 82201
Phone (307) 322-3636
201 14th St
Ste B100
Wheatland, WY 82201
Phone (307) 322-3861
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Organizations & group practices 17
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.
-
- Rural Health Clinic/Center
- Hemingford, NE
- NPI 1609944388
-
- Medicare Defined Swing Bed Hospital Unit
- Torrington, WY
- NPI 1356493068
-
- Rural Health Clinic/Center
- Torrington, WY
- NPI 1407617871
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Alliance, NE
- NPI 1063580454
-
- Rural Health Clinic/Center
- Hyannis, NE
- NPI 1083782767
-
- Rural Health Clinic/Center
- Alliance, NE
- NPI 1164691531
-
- Critical Access Hospital
- Alliance, NE
- NPI 1588732986
Hospital & facility affiliations 4
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": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1558776476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ALBANY AVE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822401530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ALBANY AVE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822401530",
"telephone_number": "307-532-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIS",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.