REBECCA SUZANNE MATTISON MD NPI 1093775736

NPI Information

  • NPI: 1093775736
  • Provider Name: REBECCA SUZANNE MATTISON, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7701 YORK AVE S
    SUITE 180
    EDINA, MN
    ZIP 55435
  • Phone: (952) 927-7810

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NPI Details

Rebecca Suzanne Mattison, MD is a specialist in Edina, MN with 28 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Rebecca Suzanne Mattison, MD NPI is 1093775736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:1998

The provider's business location address is:

7701 YORK AVE S
SUITE 180
EDINA, MN
ZIP 55435-845
Phone: (952) 927-7810
Fax: (952) 927-6309

The NPI 1093775736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 3/25/2006 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist41654MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1256L5MAOTHERMINNESOTABLUE CROSS BLUE SHIELD
2960541028184OTHERMINNESOTAPREFERRED ONE
3142689C626OTHERMINNESOTAUCARE
4279224900MEDICAIDMINNESOTA
51362715OTHERMINNESOTAAMERICA'S PPO
6HP33644OTHERMINNESOTAHEALTH PARTNERS
73300003OTHERMINNESOTAMEDICA PRIMARY
83300159OTHERMINNESOTAMEDICA CHOICE
9G97390MEDICARE UPIN
103300159OTHERMINNESOTASELECT CARE
11410999025OTHERMINNESOTATRICARE
12P00245811MEDICARE ID-TYPE UNSPECIFIEDMINNESOTARAILROAD MEDICARE
13460000250MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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