Jenna Mattocks, PNP
Jenna Mattocks, PNP is a Pediatric Nurse Practitioner in Alexandria, MN, registered under NPI 1376909242.
Getting there
The practice address on file is 610 30TH AVE W, Alexandria, MN 56308. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CNP 4319 | MN | Pediatric Nurse Practitioner primary |
This provider holds licence CNP 4319 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 2961706171
- Enrollment ID
- I20160209001648
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1376909242 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 7, 2016 |
| Last updated | Oct 21, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PNP |
| Practice address |
610 30TH AVE W Alexandria, MN 56308 (320) 763-5123 Fax (320) 763-5749 |
| Other identifiers |
1376909242
· Other (MN) 2074717 · Other (MN) CNP 4319 · Other (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 9 | 0 | 9 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 9 | 0 | 9 | 2 | 8 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.