Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Billie Mattioli

Individual provider Medical Physician Assistant · NPI 1962221655

Billie Mattioli is a Physician Assistant in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2022, 4 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2024
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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA066133 (PA)

Record details

NPI number1962221655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia