Isaac J Mattis
Individual provider Active NPI Family Medicine Physician · Stanberry, MO
NPI 1972235166 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1972235166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2025032839 (MO)
- Practice address
- 202 E Main St
Stanberry, MO 64489-1358 - Phone
- (660) 783-2192
- Fax
- (660) 783-2616
- NPI assigned
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
1607 E US Hwy 136
Albany, MO 64402-8223
Phone (660) 726-3333
202 E Main St
Stanberry, MO 64489-1358
Phone (660) 783-2192
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Hospital & facility affiliations
- Mosaic Life Care Home Health
- Mosaic Medical Center Albany
- Mosaic Life Care at St Joseph
- Mosaic Medical Center - Maryville
- Pine View Manor Inc
- Worth County Convalescent Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724000170 | NE | Practitioner - Family Practice | 3678956513 | Reassigns benefits to 2 organizations |
| I20250821002876 | MO | Practitioner - General Practice | 3678956513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025032839 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Center Association Inc | Current |
Accepting new patients | |
| Jefferson Community Health Center Inc | Family Medicine | Current |
Accepting new patients |
| Jefferson Community Health Center, Inc. | Current | Accepting new patients | |
| Northwest Medical Center Association, Inc. | Family Medicine | Current |
Accepting new patients |
| Jefferson Community Health Center Inc | Family Medicine | Current |
Accepting new patients |
| Northwest Medical Center Association, Inc | Past | Accepting new patients |
Locations
705 N College St
Albany, MO 64402
Phone (660) 726-3941
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092
2200 H St
Fairbury, NE 68352
Phone (402) 729-3351
2200 H St
#277
Fairbury, NE 68352
Phone (402) 729-3351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2864 | NE | |
| Family Medicine Physician | 207Q00000X | 2025032839 | MO | Yes |
Addresses
Primary practice location
202 E Main St
Stanberry, MO 64489-1358
Mailing address
202 E Main St
Stanberry, MO 64489-1358
Phone (660) 783-2192
Other practice location 1
2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351
Other providers in Stanberry, MO
- Tracy Jensen
- Stacey L. Karns
- M Rogers Inc & Subsidiary
- M Rogers Inc & Subsidiary
- M Rogers Inc & Subsidiary
- Rachel A McMillan
- New Beginnings
- New Trails, LLC - 4TH Street
- New Trails, LLC 9TH Street
- New Trails, LLC College St.
All providers in Stanberry, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.