MS. KAITLIN ROSE MATTICE (APRN) – Nurse Practitioner, NPI 1093261547
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,114 NURSE PRACTITIONER in NE
Provider Addresses for MS. KAITLIN ROSE MATTICE (APRN)
2725 S 144TH ST STE 212
OMAHA, NE 681445253
Phone: (402) 609-3000
Fax: (402) 609-3808
Type: Location
861, North Vista Street, Fairfax, Los Angeles, Los Angeles County, California, 90046, United States
LOS ANGELES, CA 900467518
Phone: (402) 990-8438
Type: Mailing
San Vicente Boulevard, South Carthay, Carthay, Los Angeles, Los Angeles County, California, 90048, United States
SUITE A3600
LOS ANGELES, CA 900483311
Phone: (310) 423-8317
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170103000700 | I | Nurse Practitioner | CA | TBD |
| I20210408001385 | I | Nurse Practitioner | NE | TBD |
| I20230103000963 | I | Nurse Practitioner | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 14 | 14 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 13 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 68144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Orthopedic Surgery | NE | |
| - | NE | |
| P O D I A T R Y | IA | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Sports Medicine, Orthopedic Surgery | NE | |
| Orthopedic Surgery | NE | |
| Hand Surgery, Orthopedic Surgery | NE | |
| Physical Medicine And Rehabilitation | NE |
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