Active NPI
Kristin Mattey, PA
- Medical Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA031498
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (301) 807-8132
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031498 | DC | |
| Medical Physician Assistant | 363AM0700X | PA031498 | DC | Primary |
| Physician Assistant | 363A00000X | 0110-005461 | VA |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
1831 Wiehle Ave
Reston, VA 20190-5266
Phone (703) 709-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960
20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720
4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258
6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005461 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
3007 Tilden St NW
Ste 5N
Washington, DC 20008
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
3301 Wilson Blvd
Arlington, VA 22201
Phone (703) 243-6720
Interoperability endpoints
- kmattey19755@gwmfa.direct-ci.com
Organizations & group practices 11
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Orthopaedic Surgery of the Spine Physician
- Reston, VA
- NPI 1356435580
DC
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1972056737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 WIEHLE AVE",
"city": "RESTON",
"state": "VA",
"postal_code": "201905266",
"telephone_number": "703-709-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "301-807-8132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTEY",
"first_name": "KRISTIN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031498",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA031498",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-005461",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.