NPIMap

Individual provider Active NPI

Ashley M Mattina, PA-C

  • Medical Physician Assistant
  • Highland, MI
National Provider Identifier
1730514530
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006823 Issued in MI
Practice address
2786 E Highland Rd
Highland, MI 48356-2728
Phone
(248) 887-7877
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X 5601006823 MI Primary

Addresses

Primary practice location

2786 E Highland Rd
Highland, MI 48356-2728

Mailing address

6263 Kiev St
West Bloomfield, MI 48324-1347
Phone (586) 747-8258

Other practice location 1

3990 John R St
Detroit, MI 48201-2018
Phone (313) 966-3148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000626 MI Practitioner - Physician Assistant 5092015008 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Dearborn, MI 48124-1908

2446 Elizabeth Lake Rd
Waterford, MI 48328-3310
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073-2428
Phone (248) 280-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601006823MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Urgent Care, P.C. CurrentSince Jul 9, 2023 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Jul 9, 2023 Accepting new patients
Rochester Urgent Care, P. C. CurrentSince Jul 9, 2023 Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

215 E Auburn Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ashley.mattina.1@20203.direct.athenahealth.com
  • Direct secure messaging: apresser@direct.dmc.org

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1730514530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 KIEV ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241347",
            "telephone_number": "586-747-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562728",
            "telephone_number": "248-887-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-966-3148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINA",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.