Active NPI
Lisa L Mattke, CNM
- Advanced Practice Midwife
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 620
- Practice address
- 201 Cedar St SE
Ste. 5640
Albuquerque, NM 87106-4917 - Phone
- (505) 843-6168
- Fax
- (505) 247-9743
- NPI assigned
- Mar 14, 2006
- Last updated
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 41345 | TN | |
| Midwife | 176B00000X | R148101-3 | MN | |
| Advanced Practice Midwife | 367A00000X | 620 | NM | Primary |
Addresses
Primary practice location
201 Cedar St SE
Ste. 5640
Albuquerque, NM 87106-4917
Mailing address
201 Cedar St SE
Ste. 5640
Albuquerque, NM 87106-4917
Phone (505) 843-6168
Other practice location 1
1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897
Phone (423) 553-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86807331 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Oregon Health Sciences University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
137 Thistleton Way
St Augustine, FL 32092-3281
300 Stonecrest Blvd
Suite 310
Smyrna, TN 37167-5684
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R148101-3 | MN | MD | Midwife |
| 41345 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Smyrna, TN
- NPI 1457020844
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1790754737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE",
"address_2": "STE. 5640",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064917",
"telephone_number": "505-843-6168",
"fax_number": "505-247-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE",
"address_2": "STE. 5640",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064917",
"telephone_number": "505-843-6168",
"fax_number": "505-247-9743"
}
],
"practiceLocations": [
{
"address_1": "1511 Gunbarrel Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374213897",
"country_code": "US",
"telephone_number": "423-553-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTKE",
"first_name": "LISA",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "41345",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MN",
"license": "R148101-3",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NM",
"license": "620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86807331",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.