Individual provider Active NPI

Jocelyn Mattina, MSN, AGNP

  • Primary Care Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1659736668
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP017765 Issued in PA
Practice address
2401 Park Dr
Harrisburg, PA 17110-9303
Phone
(610) 509-1829
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5008240 NC
Primary Care Nurse Practitioner 363LP2300X SP017765 PA Primary

Addresses

Primary practice location

2401 Park Dr
Harrisburg, PA 17110-9303

Mailing address

7085 Gun Club Rd
New Tripoli, PA 18066-4302
Phone (610) 509-1829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008240NCMDPrimary Care Nurse Practitioner
SP017765PAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jmattina@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1659736668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 GUN CLUB RD",
            "city": "NEW TRIPOLI",
            "state": "PA",
            "postal_code": "180664302",
            "telephone_number": "610-509-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PARK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109303",
            "telephone_number": "610-509-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINA",
        "first_name": "JOCELYN",
        "name_prefix": "Ms.",
        "credential": "MSN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5008240",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP017765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.