Irena Mattingly, AGNP-C - Medicare Nurse Practitioner in Portland, OR

  1. Home
  2. Nurse Practitioner
  3. OR
  4. Portland
Irena Mattingly, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Portland, Oregon. Her current practice location is 6214 Se Milwaukie Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 908-6616.

Irena Mattingly is licensed to practice in Oregon (license number 10007639) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457040818.

Contact Information

Irena Mattingly, AGNP-C
6214 Se Milwaukie Ave,
Portland, OR 97202-5417
(503) 908-6616
(225) 351-9980

Map and Direction




Provider's Profile

Full NameIrena Mattingly
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location6214 Se Milwaukie Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457040818
  • Provider Enumeration Date: 05/02/2023
  • Last Update Date: 11/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830558006
  • Enrollment ID: I20230706001063

Medical Identifiers

Medical identifiers for Irena Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457040818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 10007639 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Irena Mattingly allows following entities to bill medicare on her behalf.
Entity NameOptumcare Portland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710003140
PECOS PAC ID: 8820986441
Enrollment ID: O20040305000933
Entity NameOregon Healthcare Resources Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982907572
PECOS PAC ID: 4486835477
Enrollment ID: O20110223001220

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Irena Mattingly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Irena Mattingly, AGNP-C
6812 Se Drew St,
Milwaukie, OR 97222-1830

Ph: (503) 707-4064		Irena Mattingly, AGNP-C
6214 Se Milwaukie Ave,
Portland, OR 97202-5417

Ph: (503) 908-6616

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.