PAMELA JEAN MATTIE APNP NPI 1558557108

NPI Information

  • NPI: 1558557108
  • Provider Name: PAMELA JEAN MATTIE, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1836 SOUTH AVE
    LA CROSSE, WI
    ZIP 54601
    1836 SOUTH AVE
    LA CROSSE, WI
    ZIP 54601
  • Phone: (608) 782-7300

Map and Directions

Get Directions

NPI Details

Pamela Jean Mattie, APNP is a psychiatric/mental health nurse practitioner in La Crosse, WI. Pamela Jean Mattie, APNP NPI is 1558557108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300

The NPI 1558557108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 1/23/2017.

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
1363LF0000XNurse PractitionerFamily3197-33WISCONSINNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health128051WISCONSINYes
3363LP0808XNurse PractitionerPsychiatric/Mental Health3197WISCONSINYes
1363LF0000XNurse PractitionerFamily3197-33WISCONSINNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health128051WISCONSINYes
3363LP0808XNurse PractitionerPsychiatric/Mental Health3197WISCONSINYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI