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

Katherine Mattison, FNP-C

Individual provider Nurse Practitioner · NPI 1104215888

Katherine Mattison, FNP-C is a Nurse Practitioner in Moreno Valley, California. Qualified in 2014, 12 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95001682 (CA)

Record details

NPI number1104215888
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 17, 2015
Last updated in NPPESJanuary 17, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Moreno Valley