Individual provider Active NPI

Matthew Mattis, PA-C

  • Physician Assistant
  • Torrington, WY
National Provider Identifier
1558776476
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 HospitalGroup PAC ID 9638089584, 60 clinicians
Community HospitalGroup PAC ID 6608784194, 23 clinicians

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 Hospital, Torrington, WY, CCN 531307
  • Platte County Hospital Hospital, Wheatland, WY, CCN 531305
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
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

LicenseStateTypeSpecialty
3323NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Nov 1, 2025 Accepting new patients
Box Butte General Hospital CurrentSince Nov 1, 2025 Accepting new patients
Platte County Hospital CurrentSince Jun 17, 2018 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jul 1, 2014 Accepting new patients
Community Hospital CurrentSince Jul 1, 2017 Accepting new patients
Community Hospital CurrentSince Jul 1, 2017 Accepting new patients
Box Butte General Hospital CurrentSince Nov 1, 2025 Accepting new patients
Platte County Hospital CurrentSince Jun 17, 2018 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.

View all 17

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

Verify at the official NPI Registry.