Alison J Mattern, RN,CNR

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71000397A Issued in IN

Practice address

1122 Professional Dr
Goshen, IN 46526-3819

Phone

(574) 533-0560

Fax

(574) 533-1716

NPI assigned

Apr 3, 2007

Last updated

Jan 15, 2021By 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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Greg M. Mielke, M.D., P.C.

  • Specialist
  • Elkhart, IN
  • NPI 1215181888
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1902927965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 PROFESSIONAL DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263819",
            "telephone_number": "574-533-0560",
            "fax_number": "574-533-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 PROFESSIONAL DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263819",
            "telephone_number": "574-533-0560",
            "fax_number": "574-533-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "ALISON",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN,CNR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71000397A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506790",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alison.matternnp.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1122 Professional Dr",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465263819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolin K. Marzouk, N.P.
• Allyson Mast, RD
• Alyssa Mast
• Josh J Mathew, M.D.
• Priyanka Mathias, MD
• Brandon Maxwell, M.A.
• Riley McAlexander
• Katelyn McBride, MSW
• Dawn McCandless, MSW, LCSW
• Betsy McCanse, CNM

• Women's Health Nurse Practitioner in Goshen, IN
• Providers in Goshen, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.