MICHELLE L MATTESON-KOME (FNP/GNP) – Gerontology Nurse Practitioner, NPI 1669429387

MICHELLE L MATTESON-KOME (FNP/GNP) is a healthcare provider. based in Kansas city, Missouri. specializing in Gerontology Nurse Practitioner. They hold the professional credentials FNP/GNP. They hold a License No. 132000 (MO). The NPI Number for MICHELLE L MATTESON-KOME (FNP/GNP) is 1669429387

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE L MATTESON-KOME (FNP/GNP)
NPI
1669429387
Phone
(573) 884-3300
Address
PO BOX 843966
Enumeration Date
28 May 2006
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738824464
Graduation Year
1999 (27 years ago)
PAC ID
1951367564
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20041206000707

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MICHELLE L MATTESON-KOME (FNP/GNP)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 101, South Fairview Road, Chateau Apartments, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 652037637

    Phone: (573) 884-7600

    Fax: (573) 884-8200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 64184)

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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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Is MICHELLE L MATTESON-KOME (FNP/GNP) listed with a National Provider Identifier?
Yes — MICHELLE L MATTESON-KOME (FNP/GNP) has NPI 1669429387 on file in the registry.
Is MICHELLE L MATTESON-KOME (FNP/GNP) shown as active in public data?
Registry records indicate MICHELLE L MATTESON-KOME (FNP/GNP) maintains an active NPI.
How would a patient describe MICHELLE L MATTESON-KOME (FNP/GNP)'s focus?
For MICHELLE L MATTESON-KOME (FNP/GNP), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELLE L MATTESON-KOME (FNP/GNP)?
Travel planning: use Kansas City, Missouri as the reference point for MICHELLE L MATTESON-KOME (FNP/GNP), then confirm.
When was this NPI issued?
Enumeration for MICHELLE L MATTESON-KOME (FNP/GNP) is noted as May 28, 2006 where the registry provides it.

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