Individual provider Active NPI

Alison Mattes, PA-C

  • Physician Assistant
  • Johnstown, PA
National Provider Identifier
1871279224
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
374 Theatre Dr FL 2
Johnstown, PA 15904-3221
Phone
(888) 452-4762
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 PA Primary

Addresses

Primary practice location

374 Theatre Dr FL 2
Johnstown, PA 15904-3221

Mailing address

220 Nees Ave
Johnstown, PA 15904-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231013000100 PA Practitioner - Physician Assistant 5193170025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipg Ortho LLPGroup PAC ID 7517472178, 16 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 160
Indiana, PA 15701-3675
Phone (724) 465-2676

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

374 Theatre Dr
Johnstown, PA 15904-3221
Phone (814) 535-6521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cosm Rehab CurrentSince Sep 8, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

374 Theatre Dr
Fl 2
Johnstown, PA 15904

374 Theatre Dr
Ste 2A
Johnstown, PA 15904
Phone (814) 535-6521

374 Theatre Dr
Ste 2B
Johnstown, PA 15904
Phone (814) 535-6521

Interoperability endpoints

  • Direct secure messaging: alison.mattes.1@10717.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1871279224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEES AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 THEATRE DR FL 2",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043221",
            "telephone_number": "888-452-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTES",
        "first_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.