| Angela Marie Mattern, NP | |
|
60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 | |
| (574) 335-8800 | |
| (574) 335-0613 |
| Full Name | Angela Marie Mattern |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 60101 Bodnar Blvd Ste 100b, Mishawaka, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962930180 | NPI | - | NPPES |
| 300004473 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71007221A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71007221A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Health System Inc | 4880598572 | 140 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | Goshen Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Mattern, NP 5215 Holy Cross Pkwy, Provider Services-enrollment, Mishawaka, IN 46545-1469 Ph: () - | Angela Marie Mattern, NP 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 Ph: (574) 335-8800 |
Kyla M Schauss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240 | |
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516 | |
Amy M Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-584-2812 Fax: 574-584-2813 | |
Laura Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 W Mckinley Ave, Mishawaka, IN 46545 Phone: 574-282-3230 | |
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321 | |
Shea Lee Warner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700 | |
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 |