Allison Marie Mattila, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200750140NP Issued in OR

Practice address

10 Pier 1 Ste 301
Astoria, OR 97103-6338

Phone

(503) 741-3570

Fax

(503) 741-3569

NPI assigned

Oct 10, 2007

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

62.39

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kevin Baxter DO PC

  • Primary Care Clinic/Center
  • Astoria, OR
  • NPI 1508047226
  NPD
• Columbia Lutheran Charities

  dba Lower Columbia Hospice

  • Community Based Hospice Care Agency
  • Astoria, OR
  • NPI 1023038858
  NPD (past)
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1932814704
  NPD (past)
• Germin Clinical Neurology West

  dba Clinical Neurology Specialists West

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1265507271
  NPD (past)
• Innotiv Germin

  dba Clinical Neurology Specialists

  • Neurology Physician
  • Henderson, NV
  • NPI 1225101330
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1861680241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PIER 1 STE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036338",
            "telephone_number": "503-741-3570",
            "fax_number": "503-741-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIER 1 STE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036338",
            "telephone_number": "503-741-3570",
            "fax_number": "503-741-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTILA",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750140NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC MEDICARE",
            "identifier": "38-1852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC MEDICAID",
            "identifier": "231893",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242060",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atef Monier Rezk Masak, DDS
• Carol R Mathre, LMT
• David Albert Mathre, RPH
• Dwight John Matson
• Nathalie Matson
• Stephanie Love Mattingly, B.S.
• Mandy Mattison, MSN-ED, RN, IBCLC
• Ryan Scott McAfee, LAC
• Anna Christina McAllister, RN
• Megan Elizabeth McChesney, M.D.

• Family Nurse Practitioner in Astoria, OR
• Providers in Astoria, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.