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Andrea M Mattison, PAC

Medical Physician Assistant in Kenosha, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902852072

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Registry record

Entity type Individual (Type 1)
Name Andrea M Mattison
Credential PAC
Sex Female
Practice address 3400 Market Ln, Kenosha, WI, 53144
Fax (262) 551-4630
Enumeration date May 26, 2006
Last updated in NPPES Sep 13, 2016

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1391 (WI) Primary

Other identifiers

Identifier Type State Issuer
41928000 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Andrea Mattison?
The National Provider Identifier (NPI) for Andrea Mattison is 1902852072, a Type 1 (individual) record in the CMS NPPES registry.
Where does Andrea Mattison practice?
The practice location on file with NPPES is in Kenosha, WI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-13.