MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) – Nurse Practitioner, NPI 1366799082

MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) is a healthcare provider. based in Warren, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, PMHNP, RN. They hold a License No. RN.330047 (OH). The NPI Number for MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) is 1366799082

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)
NPI
1366799082
Phone
(330) 797-0070
Address
320 High St NE
Enumeration Date
13 August 2012
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307970070
Graduation Year
2020 (6 years ago)
PAC ID
9436387420
Group Practice PAC ID
3779553995
Professional Enrollment ID
I20140121001556
Address ID
OH445091227YO527XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:13State licenses:7Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)

  • 320 High St NE

    Warren, OH 444811222

    Phone: (330) 797-0070

    Type: Location

  • 4391 LANTERMAN RD

    YOUNGSTOWN, OH 445151435

    Phone: (330) 718-6589

    Type: Mailing

  • 2151 RUSH BLVD

    YOUNGSTOWN, OH 44507

    Phone: (330) 718-6589

    Type: Location

  • 527 N MERIDIAN RD

    YOUNGSTOWN, OH 445091227

    Phone: (330) 797-0070

    Fax: (330) 797-9146

    Type: Mailing

  • 527 N Meridian Rd

    Youngstown, OH 445091227

    Phone: (330) 797-0070

    Fax: (330) 797-9146

    Type: Location

  • 726 Wick Ave

    Youngstown, OH 445052827

    Phone: (330) 747-9551

    Fax: (330) 884-6120

    Type: Location

  • 1950 Niles Cortland Rd NE

    Warren, OH 444841077

    Phone: (330) 797-0070

    Type: Location

  • 550 W CHALMERS AVE

    YOUNGSTOWN, OH 445111576

    Phone: (330) 797-0070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2023-04-12 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($25).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-01-21

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
I20140121001556INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44481)

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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: 3779553995View full group profile
NameSpecialtyState
C H I R O P R A C T I COH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
C H I R O P R A C T I COH
Mental Health CounselorOH
-OH
-OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Where can patients find MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)'s NPI?
You can confirm MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) with NPI 1366799082; it appears in the national provider directory.
Is MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) work in?
You can think of MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)?
The snapshot lists Warren, Ohio for MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN); download NPPES for the complete set.
How can I contact MRS. MARIAN ANN MATTERN (CNP, PMHNP, RN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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