JESSICA-ANN MATTSON – Advanced Practice Midwife, NPI 1174714976

JESSICA-ANN MATTSON is a healthcare provider. based in Gresham, Oregon. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold a License No. 201807639NP-PP (OR). The NPI Number for JESSICA-ANN MATTSON is 1174714976

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA-ANN MATTSON
NPI
1174714976
Phone
(503) 665-0183
Address
3955 SE 182nd Ave
Enumeration Date
6 August 2007
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009672289
Graduation Year
2016 (10 years ago)
PAC ID
6800137670
Group Practice PAC ID
7113233834
Professional Enrollment ID
I20220406000645
Address ID
AK995084615AN3200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

192 CERTIFIED NURSE MIDWIFE (CNM) in OR

Provider Addresses for JESSICA-ANN MATTSON

  • 3955 SE 182nd Ave

    Gresham, OR 970305036

    Phone: (503) 665-0183

    Type: Location

  • 105 W 8th Ave Ste 6020

    Spokane, WA 99204

    Phone: (509) 455-5050

    Fax: (509) 624-5034

    Type: Location

  • West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    SPOKANE, WA 992042319

    Phone: (509) 455-5050

    Fax: (509) 624-5034

    Type: Mailing

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: 2022-04-06

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
I20220406000645ICertified Nurse Midwife (Cnm)AKTBD

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 97030)

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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: 7113233834View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)AK
Certified Nurse Midwife (Cnm)OH
O B S T E T R I C S/ G Y N E C O L O G YAK
-ID
-AK
Certified Nurse Midwife (Cnm)AK

Reviews

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Frequently asked questions

Can I verify JESSICA-ANN MATTSON with an NPI only?
You can start verification with NPI 1174714976 for JESSICA-ANN MATTSON, then check state licensing separately.
Is JESSICA-ANN MATTSON listed as active for patients and plans?
The listing shows JESSICA-ANN MATTSON as active in the NPI system.
What healthcare role does JESSICA-ANN MATTSON hold?
Scheduling teams often label JESSICA-ANN MATTSON under Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Does JESSICA-ANN MATTSON list a practice location?
Patients near Gresham, Oregon may find JESSICA-ANN MATTSON in results; validate coverage separately.
Is the information about JESSICA-ANN MATTSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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