Individual provider Active NPI

Kara Berry Matteson, PA-C

  • Physician Assistant
  • West Memphis, AR
National Provider Identifier
1750035598
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
900 N 7TH St
West Memphis, AR 72301-2001
Phone
(870) 735-3842
Fax
(870) 394-4872
NPI assigned
Feb 10, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 NU Primary

Addresses

Primary practice location

900 N 7TH St
West Memphis, AR 72301-2001

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (707) 353-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220516002353 AR Practitioner - Physician Assistant 7719364652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

513 Porter St
Helena, AR 72342-3217
Phone (870) 817-0122

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Apr 14, 2022 Accepting new patients
East Arkansas Family Health Center, Inc Current Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Apr 14, 2022 Accepting new patients
East Arkansas Family Health Center Inc. Past Accepting new patients

Locations

605 N 2nd St
Blytheville, AR 72315
Phone (870) 532-6001

216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977

1 Patriot Dr
Marion, AR 72364
Phone (870) 739-5137

417 W Main St
#B
Trumann, AR 72472
Phone (870) 483-7039

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

Interoperability endpoints

  • Direct secure messaging: kara.matteson@eastarkan.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750035598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "707-353-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842",
            "fax_number": "870-394-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "KARA",
        "middle_name": "BERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-10-18",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.