Individual provider Active NPI

Audrey Grace Matteson, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1871238378
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031374 Issued in OH
Practice address
770 Jasonway Ave Ste 1a
Columbus, OH 43214-4361
Phone
(614) 459-2950
Fax
(614) 459-2975
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0031374 OH Primary

Addresses

Primary practice location

770 Jasonway Ave Ste 1a
Columbus, OH 43214-4361

Mailing address

770 Jasonway Ave Ste 1a
Columbus, OH 43214-4361
Phone (614) 459-2950

Other names 1

  • Audrey Grace Barrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220923001537 OH Practitioner - Nurse Practitioner 1456736693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

770 Jasonway Ave
Suite 1a
Columbus, OH 43214-4361
Phone (614) 459-2950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 7, 2025 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Nurse Practitioner CurrentSince Sep 7, 2025 Accepting new patients

Locations

770 Jasonway Ave
Ste 1A
Columbus, OH 43214
Phone (614) 459-2950

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

Interoperability endpoints

  • Direct secure messaging: amatteson94302@copcp.medicity.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1871238378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144361",
            "telephone_number": "614-459-2950",
            "fax_number": "614-459-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144361",
            "telephone_number": "614-459-2950",
            "fax_number": "614-459-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "AUDREY",
        "middle_name": "GRACE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BARRETT",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.