JENNA MARIE MATTOCKS PNP
NPI 1376909242
Nurse Practitioner - Pediatrics in Alexandria, MN
NPI Status: Active since January 07, 2016
Contact Information
610 30TH AVE W
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 763-5123
Fax: (320) 763-5749
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About JENNA MATTOCKS
This page provides the complete NPI Profile along with additional information for Jenna Mattocks, a provider established in Alexandria, Minnesota with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1376909242 assigned on January 2016. The practitioner's primary taxonomy code is 363LP0200X with license number CNP 4319 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1376909242
- Provider Name
- JENNA MARIE MATTOCKS PNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 610 30TH AVE W ALEXANDRIA, MN 56308
- Location Phone
- (320) 763-5123
- Location Fax
- (320) 763-5749
- Mailing Address
- 610 30TH AVE W ALEXANDRIA, MN 56308
- Mailing Phone
- (320) 763-5123
- Mailing Fax
- (320) 763-5749
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-07-2016
- Last Update Date
- 10-21-2024
- Code Navigator
A nurse practitioner (NP) like Jenna Mattocks is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CNP 4319
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1376909242 | OTHER (01) | MN | NPI |
| 2074717 | OTHER (01) | MN | RN LICENSE |
| CNP 4319 | OTHER (01) | MN | CNP LICENSE |
Medicare Participation & PECOS Enrollment Status
Jenna Mattocks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 56308 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 9 | 0 | 9 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 18 | 0 | 18 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 8 + 2 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1376909242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366422214 | RACHEL L SCHUNEMAN MD Individual | Dermatology | 610 30TH AVE W ALEXANDRIA CLINIC PA ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1346211315 | ALEXANDRIA CLINIC PA Organization | Clinic/Center (Multi-Specialty) | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 769-5123 |
| 1629042007 | TRUDY D SIRANY MD Individual | Obstetrics & Gynecology | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1487735379 | MARCINE P ELLWEIN M.D. Individual | Pediatrics | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1689654568 | RONALD P VERANT MD Individual | Internal Medicine | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1629058581 | STEVEN M LONGBOTHAM MD Individual | Family Medicine | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1366422768 | STEVEN C FERGUSON MD Individual | Family Medicine | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1255311650 | SANDRA L JOHNSON MD Individual | Family Medicine | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1467422469 | CONNIE M GRATIAS FNP Individual | Nurse Practitioner | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1982675369 | DR. ERIKA L JOHNSON MD Individual | Obstetrics & Gynecology | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1649513979 | DR. JENNIFER ANN PORTER DNP, CNM Individual | Advanced Practice Midwife | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-2540 |
| 1811988207 | JULIE A ANDERSON CNP Individual | Nurse Practitioner (Family) | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1538617410 | EMMA WILSON Individual | Physician Assistant | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1033135298 | JUSTIN T CONLEY MD Individual | Pediatrics | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1528066651 | LAKE REGION EYE CENTER Organization | Optometrist | 610 30TH AVE W STE 200 ALEXANDRIA, MN 56308 (320) 763-7055 |
| 1811277494 | LESLIE ANN RAU KIRSCHT PA-C Individual | Physician Assistant | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1003220799 | JESSICA M BUTANIS DO Individual | Internal Medicine | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1134109648 | MICHAEL L BRISTOW DO Individual | Family Medicine | 610 30TH AVE W ALEXANDRIA CLINIC ALEXANDRIA, MN 56308 (320) 763-5123 |
| 1205256757 | DEMETRA HEINRICH MD Individual | Obstetrics & Gynecology | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-2540 |
| 1194913913 | KAREN KAY DENTICE SAGER PA Individual | Physician Assistant (Medical) | 610 30TH AVE W ALEXANDRIA, MN 56308 (320) 763-5123 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376909242, enumerated in the NPI registry as an "individual" on January 07, 2016
The provider is located at 610 30th Ave W Alexandria, Mn 56308 and the phone number is (320) 763-5123
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 07, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.