ALISHA DAWN MATTERN (FNP-C) – Family Nurse Practitioner, NPI 1528719085

ALISHA DAWN MATTERN (FNP-C) is a healthcare provider. based in Wildwood, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2022001544 (MO). The NPI Number for ALISHA DAWN MATTERN (FNP-C) is 1528719085

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA DAWN MATTERN (FNP-C)
NPI
1528719085
Phone
(210) 464-8751
Address
18833 HARDT RD
Enumeration Date
15 January 2022
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549622009
Graduation Year
2021 (5 years ago)
PAC ID
3779949607
Group Practice PAC ID
4082710835
Professional Enrollment ID
I20250220002542
Address ID
FL341424303IM1120XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for ALISHA DAWN MATTERN (FNP-C)

  • 18833 HARDT RD

    WILDWOOD, MO 630381114

    Phone: (210) 464-8751

    Type: Mailing

  • 1001 S KIRKWOOD RD STE 101A

    KIRKWOOD, MO 631227254

    Phone: (314) 543-5971

    Type: Location

  • 1120 S 1ST ST

    IMMOKALEE, FL 341424303

    Phone: (239) 867-3400

    Fax: (239) 657-2304

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$22
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: 2025-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230519000946INurse PractitionerMOTBD
I20250220002542INurse PractitionerTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63038)

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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: 4082710835View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family Practice, Osteopathic Manipulative MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantWV

Reviews

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Frequently asked questions

Can I cross-check ALISHA DAWN MATTERN (FNP-C) using NPI 1528719085?
NPI 1528719085 belongs to ALISHA DAWN MATTERN (FNP-C); compare other details if you need extra assurance.
Is ALISHA DAWN MATTERN (FNP-C) still an active registrant?
ALISHA DAWN MATTERN (FNP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for ALISHA DAWN MATTERN (FNP-C)?
At a glance, ALISHA DAWN MATTERN (FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALISHA DAWN MATTERN (FNP-C) associated with Wildwood?
Public fields place ALISHA DAWN MATTERN (FNP-C) around Wildwood, Missouri. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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