Individual provider Active NPI

Skylar Lee Mattingly, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1750080289
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4025817 Issued in KY
Practice address
3115 Commonwealth CT Ste A3
Owensboro, KY 42303-4452
Phone
(270) 216-8896
Fax
(270) 216-8909
NPI assigned
Feb 23, 2023
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 4025817 KY Primary

Addresses

Primary practice location

3115 Commonwealth CT Ste A3
Owensboro, KY 42303-4452

Mailing address

3115 Commonwealth CT Ste A3
Owensboro, KY 42303-4452
Phone (270) 216-8896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241031003773 KY Practitioner - Nurse Practitioner 8527591304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3115 Commonwealth CT
Suite A3
Owensboro, KY 42303-4452
Phone (270) 216-8896

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4025817KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wethington Telemedicine LLC Family CurrentSince Oct 15, 2024 Accepting new patients
Mattingly Family Practice PLLC Family CurrentSince Jul 1, 2025 Accepting new patients

Locations

3115 Commonwealth Ct
Ste A3
Owensboro, KY 42303
Phone (270) 216-8896

3271 Alvey Park Dr W
Ste H
Owensboro, KY 42303
Phone (270) 240-2344

Organizations & group practices 2

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.

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1750080289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COMMONWEALTH CT STE A3",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034452",
            "telephone_number": "270-216-8896",
            "fax_number": "270-216-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COMMONWEALTH CT STE A3",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034452",
            "telephone_number": "270-216-8896",
            "fax_number": "270-216-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "SKYLAR",
        "middle_name": "LEE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4025817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.