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

Mrs. Lee Ann Matson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1861977548

Mrs. Lee Ann Matson, NURSEPRACTITIONER is a Nurse Practitioner in South Bend, Indiana. Qualified in 2018, 8 years ago. Practices with Osh-In Physicians Group PC, a 65-clinician group and works from 3 locations. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

4401 W Western Ave Ste C
South Bend, IN 46619-2645
Phone: (574) 725-7006
Fax: (574) 807-9614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 410 S Main St, Goshen, IN 46526-3947 — (574) 533-2510
  • 4401 W Western Ave Ste C, South Bend, IN 46619-2645 — (574) 725-7006

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011065A (IN)

Record details

NPI number1861977548
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Osh-In Physicians Group Pc — 65 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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