IndividualActive
Mattie Obregon
NPI 1154110310 · Physician Assistant · Arden Hills, MN
Provider details
- NPI number
- 1154110310
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
2 Pine Tree Dr
Arden Hills, MN 55112-3754
Phone: (651) 638-6400
Street-level locationGet directions
Mailing address
200 Winthrop St S Apt 121
Saint Paul, MN 55119-5038
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.