Clinic at 410 PLLC
NPI 1144065012 · Family Nurse Practitioner · Kingston, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinic at 410 PLLC is a Family Nurse Practitioner organization in Kingston, OK (NPI 1144065012).
Provider details
- NPI number
- 1144065012
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tressa Matchen, Fnp-Bc(580) 565-9975
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Clinic at 410 PLLC's NPI number?
- Clinic at 410 PLLC's National Provider Identifier (NPI) is 1144065012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinic at 410 PLLC?
- Clinic at 410 PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clinic at 410 PLLC located?
- Clinic at 410 PLLC's practice location on file with NPPES is 410 Hwy 70, Kingston, OK 73439.
- What is Clinic at 410 PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clinic at 410 PLLC is (580) 565-9975.
- Does Clinic at 410 PLLC accept Medicare?
- Clinic at 410 PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clinic at 410 PLLC?
- The authorized official listed on Clinic at 410 PLLC's NPPES record is Tressa Matchen, Fnp-Bc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinic at 410 PLLC's NPI active?
- Yes — Clinic at 410 PLLC's NPI (1144065012) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.