Adam Cole Mattison, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017033180 Issued in MO

Practice address

500 E 19TH St
Mountain Grove, MO 65711-1114

Phone

(417) 926-6563

NPI assigned

Sep 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Urgent Care of Kansas City LLCGroup PAC ID 4688634918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adammattison@omcmo.allscriptsdirect.net
• Direct secure messaging: a.mattison@mhccaremail.com

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.

• Urgent Care of Kansas City LLC

  • Urgent Care Clinic/Center
  • Independence, MO
  • NPI 1427143171
  Medicare reassignment Care Compare group NPD
• Kansas Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Leawood, KS
  • NPI 1255883682

  MO

  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Carespot Professional Services LLC

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1972012854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111114",
            "telephone_number": "417-926-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "ADAM",
        "middle_name": "COLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017033180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Joetta Luna, FNP
• Kimberly Elizabeth Lunday, DPT
• Melani Macaraig
• Manes R-V School District
• Sarah Elizabeth Martin, LAT
• Lora McQueen, RPH
• Sarah Mead, COTA/L
• Kaylie Madison Meales
• Teresa Mealy
• Kelly Allison Means

• Family Nurse Practitioner in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
• 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.