CASEY LYNN MATTINGLY – Psychiatric/Mental Health Nurse Practitioner, NPI 1114537537

CASEY LYNN MATTINGLY is a healthcare provider. based in Paris, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 1156767 (KY). The NPI Number for CASEY LYNN MATTINGLY is 1114537537

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CASEY LYNN MATTINGLY
NPI
1114537537
Phone
Not provided
Address
204 KELLY ST
Enumeration Date
1 August 2020
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164685000
Graduation Year
2020 (6 years ago)
PAC ID
5597179481
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20210204002422
Address ID
KY403249819GE105XXPATH303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for CASEY LYNN MATTINGLY

  • 204 KELLY ST

    PARIS, KY 403611516

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($566).

Total Amount

$566

General + Research + Ownership

Payments

33

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$566
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210204002422INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8727$0
View full utilization report →

Insurance plans in this area (ZIP 40361)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446243760View full group profile

Reviews

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Frequently asked questions

Does CASEY LYNN MATTINGLY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CASEY LYNN MATTINGLY uses 1114537537.
Is CASEY LYNN MATTINGLY listed as active for patients and plans?
The listing shows CASEY LYNN MATTINGLY as active in the NPI system.
What is CASEY LYNN MATTINGLY best known for clinically?
Directory data describes CASEY LYNN MATTINGLY with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CASEY LYNN MATTINGLY based?
CASEY LYNN MATTINGLY is tied to Paris, Kentucky in the data we show; additional addresses may exist on the full record.
Is the information about CASEY LYNN MATTINGLY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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