Dr Kimberly Rose Matteson, CRNA, DNAP - Medicare Nurse Anesthetist, Certified Registered in Providence, RI

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Dr Kimberly Rose Matteson, CRNA, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-6779.

Dr Kimberly Rose Matteson is licensed to practice in Rhode Island (license number APRN03227) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326773516.

Contact Information

Dr Kimberly Rose Matteson, CRNA, DNAP
593 Eddy St,
Providence, RI 02903-4923
(401) 444-6779
Not Available

Map and Direction




Provider's Profile

Full NameDr Kimberly Rose Matteson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326773516
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 01/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395111264
  • Enrollment ID: I20221018000802

Medical Identifiers

Medical identifiers for Dr Kimberly Rose Matteson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326773516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN03227 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Rose Matteson allows following entities to bill medicare on her behalf.
Entity NameNarragansett Bay Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861445728
PECOS PAC ID: 5991774929
Enrollment ID: O20040928000003
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameSouth County Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790193522
PECOS PAC ID: 2062735053
Enrollment ID: O20141224000069
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782466
PECOS PAC ID: 2567455082
Enrollment ID: O20160121000235

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Rose Matteson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Rose Matteson, CRNA, DNAP
1956 S County Trl,
West Kingston, RI 02892-1600

Ph: (401) 477-0896		Dr Kimberly Rose Matteson, CRNA, DNAP
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-6779

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Peter W Wolferseder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Marie A Mills, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Beth Vanpraag, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Paulette Champion, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Angela Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Garrick Mark Whitlock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.