Individual provider Active NPI

Kristin Matteson Brindisi, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1891101267
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA031665 Issued in DC
Practice address
106 Irving St NW Ste 3150
Washington, DC 20010-2934
Phone
(202) 715-5060
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA031665 DC Primary

Addresses

Primary practice location

106 Irving St NW Ste 3150
Washington, DC 20010-2934

Mailing address

106 Irving St NW Ste 3150
Washington, DC 20010-2934

Other practice location 1

3031 Javier Rd
Suite 210
Fairfax, VA 22031-4637
Phone (703) 268-6436

Other practice location 2

900 23rd St NW
Washington, DC 20037
Phone (202) 715-5060

Other names 1

  • Ms. Kristin Alice Matteson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20140902001839 DC Practitioner - Physician Assistant 8325266471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

1420 Beverly Rd
MC Lean, VA 22101-3732
Phone (571) 665-4850

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA031665DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Hospital Partners LP CurrentSince Nov 11, 2019 Accepting new patients
District Hospital Partners L P CurrentSince Nov 11, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

6862 Elm St
Ste 800
Mc Lean, VA 22101
Phone (703) 663-4740

Organizations & group practices 6

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.

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1891101267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 3150",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 3150",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102934",
            "telephone_number": "202-715-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 Javier Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314637",
            "country_code": "US",
            "telephone_number": "703-268-6436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-715-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINDISI",
        "first_name": "KRISTIN",
        "middle_name": "MATTESON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MATTESON",
            "middle_name": "ALICE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.