Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Nicole Lynn Mattes, MS, RPA-C

Individual provider Surgical Physician Assistant · NPI 1699005637

Miss. Nicole Lynn Mattes, MS, RPA-C is a Physician Assistant in Syracuse, New York. Qualified in 2009, 17 years ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5111
Fax: (315) 703-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 013801 (NY)

Record details

NPI number1699005637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RPA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJuly 18, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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