ASHLEY M MATTINA (PA-C) – Medical Physician Assistant, NPI 1730514530
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for ASHLEY M MATTINA (PA-C)
3990 John R St
Detroit, MI 482012018
Phone: (313) 966-3148
Type: Location
44740 DUFFIELD AVE
STERLING HEIGHTS, MI 483141526
Phone: (586) 747-8258
Type: Mailing
3990 JOHN R ST
DETROIT, MI 482012018
Phone: (313) 966-3148
Type: Location
6263 KIEV ST
WEST BLOOMFIELD, MI 483241347
Phone: (586) 747-8258
Type: Mailing
2786 E HIGHLAND RD
HIGHLAND, MI 483562728
Phone: (248) 887-7877
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2023-09-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($95).
Total Amount
$95
General + Research + Ownership
Payments
1
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $95 |
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: 2015-11-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151124000626 | I | Physician Assistant | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| General Surgery | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.