Isaac J Mattis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2025032839 Issued in MO

Practice address

202 E Main St
Stanberry, MO 64489-1358

Phone

(660) 783-2192

Fax

(660) 783-2616

NPI assigned

Jun 27, 2022

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Medical Center Association IncGroup PAC ID 5496641896, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care Home Health Home health agency, Saint Joseph, MO, CCN 267064
• Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
• Pine View Manor Inc Nursing home, Stanberry, MO, CCN 265506
• Worth County Convalescent Center Nursing home, Grant City, MO, CCN 265773

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Medicare Defined Swing Bed Hospital Unit
  • Albany, MO
  • NPI 1124164322
  Medicare reassignment Care Compare group NPD
• Jefferson Community Health Center Inc

  dba Jefferson Community Health & Life Fairbury Clinic

  • Rural Health Clinic/Center
  • Fairbury, NE
  • NPI 1922462902

  Family Medicine

  Medicare reassignment NPD
• Jefferson Community Health Center, Inc.

  dba Jefferson Community Health Center

  • Critical Access Hospital
  • Fairbury, NE
  • NPI 1477660397
  Medicare reassignment NPD
• Northwest Medical Center Association, Inc.

  dba Mosaic Family Care Albany East

  • Family Medicine Physician
  • Albany, MO
  • NPI 1912190620
  NPD
• Jefferson Community Health Center Inc

  dba Jefferson Community Health & Life Plymouth Clinic

  • Rural Health Clinic/Center
  • Plymouth, NE
  • NPI 1215445994

  Family Medicine

  NPD
• Northwest Medical Center Association, Inc

  dba Mosaic Family Care Stanberry

  • Rural Health Clinic/Center
  • Stanberry, MO
  • NPI 1750457149
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heartland Regional Medical Center

  dba Mosaic Life Care Home Health

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1003916198
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Critical Access Hospital
  • Albany, MO
  • NPI 1306893268
  Care Compare affiliation
• Pine View Manor, Inc.

  • Skilled Nursing Facility
  • Stanberry, MO
  • NPI 1578565578

  Nursing home

  Care Compare affiliation
• Worth County Nursing Home District

  dba Worth County Convalescent Center

  • Skilled Nursing Facility
  • Grant City, MO
  • NPI 1598868853

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1972235166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644891358",
            "telephone_number": "660-783-2192",
            "fax_number": "660-783-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644891358",
            "telephone_number": "660-783-2192",
            "fax_number": "660-783-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 H St",
            "address_purpose": "LOCATION",
            "city": "Fairbury",
            "state": "NE",
            "postal_code": "683521119",
            "country_code": "US",
            "telephone_number": "402-729-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "ISAAC",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2864",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025032839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Hunter, CNP
• Tracy Jensen
• Stacey L. Karns, P.A.
• M Rogers Inc & Subsidiary
• M Rogers Inc & Subsidiary (Rogers Pharmacy)
• Rachel A McMillan, PHARMD
• New Beginnings
• New Trails, LLC - 4TH Street
• New Trails, LLC 9TH Street
• New Trails, LLC College St.

• Family Medicine Physician in Stanberry, MO
• Providers in Stanberry, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.