Individual provider Active NPI

John Laurence Dematteis

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1629660246
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
DEMA-A4C1M Issued in NC
Practice address
120 W Fox Chase Rd
Asheville, NC 28804-1014
Phone
(828) 273-2017
NPI assigned
Feb 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X DEMA-A4C1M NC Primary

Addresses

Primary practice location

120 W Fox Chase Rd
Asheville, NC 28804-1014

Mailing address

120 W Fox Chase Rd
Asheville, NC 28804-1014
Phone (828) 273-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210715003067 NC Practitioner - Nurse Practitioner 6002218864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

68 Sweeten Creek Rd
Asheville, NC 28803-2318
Phone (828) 213-1740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DEMA-A4C1MNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jul 5, 2021 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jul 5, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

68 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 274-2400

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1629660246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W FOX CHASE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041014",
            "telephone_number": "828-273-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W FOX CHASE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041014",
            "telephone_number": "828-273-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEIS",
        "first_name": "JOHN",
        "middle_name": "LAURENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "DEMA-A4C1M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.