ROXANA MATTONI (PA-C) – Physician Assistant, NPI 1639740962

ROXANA MATTONI (PA-C) is a healthcare provider. based in Sparks, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2721 (NV). The NPI Number for ROXANA MATTONI (PA-C) is 1639740962

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ROXANA MATTONI (PA-C)
NPI
1639740962
Phone
(775) 432-1343
Address
1441 PULLMAN DR
Enumeration Date
7 July 2021
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7754321343
Graduation Year
2022 (4 years ago)
PAC ID
0042689903
Group Practice PAC ID
8123107935
Professional Enrollment ID
I20221215001749
Address ID
NV894347921SP1441XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for ROXANA MATTONI (PA-C)

  • 1441 PULLMAN DR

    SPARKS, NV 894347921

    Phone: (775) 432-1343

    Fax: (775) 324-0858

    Type: Mailing

  • 18600 WEDGE PKWY

    RENO, NV 895113036

    Phone: (775) 784-4843

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $822.

Total Amount is formed as General ($822) + Research ($0) + Ownership ($0) = $822.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($160).

Total Amount

$822

General + Research + Ownership

Payments

26

Total payment records

General Amount

$822

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2022-12-15

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
I20221215001749IPhysician AssistantNVTBD

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
83036Hemoglobin a1c level2016$0
82962Blood glucose (sugar) test performed by hand-held instrument1613$0
View full utilization report →

Insurance plans in this area (ZIP 89434)

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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: 8123107935View full group profile
NameSpecialtyState
Physician AssistantNV
Nurse PractitionerNV
Certified Nurse Midwife (Cnm)NV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Can I cross-check ROXANA MATTONI (PA-C) using NPI 1639740962?
NPI 1639740962 belongs to ROXANA MATTONI (PA-C); compare other details if you need extra assurance.
Is ROXANA MATTONI (PA-C) still an active registrant?
ROXANA MATTONI (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to ROXANA MATTONI (PA-C)?
ROXANA MATTONI (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Nevada is ROXANA MATTONI (PA-C) registered?
Use Sparks, Nevada as the headline location for ROXANA MATTONI (PA-C) here.
When was this NPI issued?
Enumeration for ROXANA MATTONI (PA-C) is noted as July 7, 2021 where the registry provides it.

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