Shelby Mattke

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-85818-081 Issued in KS

Practice address

3012 Broadway Ave
Hays, KS 67601-1916

Phone

(785) 301-2250

NPI assigned

Jul 27, 2023

Last updated

Jul 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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.

• Potter Plastic & Reconstructive Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Hays, KS
  • NPI 1215314380
  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1982385373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BROADWAY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011916",
            "telephone_number": "785-301-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 BROADWAY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011916",
            "telephone_number": "785-301-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTKE",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "158400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85818-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick M Marecic, D.O.
• Timothy Steven Markus, PHYSICAL THERAPIST
• Tara S Marshall, SLP-CCC
• Kurt F. Martin, DDS, MD
• Rachelle Martinson
• Lindsey Ellen Maxwell
• Alyssa Mayfield
• Kevin R McDonald, MD
• Thomas L McDonald, M.D.
• Jennifer Grace McDowell, MSN, APRN, FNP-C

• Family Nurse Practitioner in Hays, KS
• Providers in Hays, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.