Individual provider Active NPI

Kristina Mattson

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1609416163
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
235667 Issued in AZ
Practice address
2680 S Val Vista Dr Ste 147
Gilbert, AZ 85295-1636
Phone
(480) 219-7810
Fax
(480) 219-7806
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN169690 AZ
Nurse Practitioner 363L00000X 235667 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr Ste 147
Gilbert, AZ 85295-1636

Mailing address

2680 S Val Vista Dr Ste 147
Gilbert, AZ 85295-1636
Phone (480) 219-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20200615001528 AZ Practitioner - Nurse Practitioner 8123440427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sapphire Health and Wellness LLCGroup PAC ID 2860814167, 3 clinicians

Practice addresses (Care Compare)

3530 S Val Vista Dr
Suite A111
Gilbert, AZ 85297-7319
Phone (480) 219-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN169690AZMDRegistered Nurse
235667AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Health and Wellness LLC CurrentSince May 1, 2020 Accepting new patients

Locations

3530 S Val Vista Dr
Ste A111
Gilbert, AZ 85297
Phone (480) 219-7810

2680 S Val Vista Dr
Ste 147
Gilbert, AZ 85295
Phone (480) 219-7810

Interoperability endpoints

  • Direct secure messaging: kristina.mattson.1@21206.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21206/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1609416163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 147",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951636",
            "telephone_number": "480-219-7810",
            "fax_number": "480-219-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 147",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951636",
            "telephone_number": "480-219-7810",
            "fax_number": "480-219-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN169690",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "235667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.