Individual provider Active NPI

Michele A Matala, ANP/FNP

  • Nurse Practitioner
  • Elma, NY
National Provider Identifier
1083678429
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F302546-1 Issued in NY
Practice address
2731 Transit Rd
Ste 107
Elma, NY 14059
Phone
(716) 677-4178
Fax
(855) 816-9607
NPI assigned
Apr 13, 2006
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F302546-1 NY Primary

Addresses

Primary practice location

2731 Transit Rd
Ste 107
Elma, NY 14059

Mailing address

2731 Transit Rd
Ste 107
Elma, NY 14059
Phone (716) 677-4178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904001046 NY Practitioner - Nurse Practitioner 9537385679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2731 Transit Rd
Suite 107
Elma, NY 14059-9039

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F302546-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David John Novelli CurrentSince Apr 23, 2023 Accepting new patients

Locations

2731 Transit Rd
Ste 107
Elma, NY 14059
Phone (716) 677-4178

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJEJCA/Endpoint/CJEJCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1083678429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 TRANSIT RD",
            "address_2": "STE 107",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-677-4178",
            "fax_number": "855-816-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 TRANSIT RD",
            "address_2": "STE 107",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-677-4178",
            "fax_number": "855-816-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALA",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "ANP/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F302546-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

Verify at the official NPI Registry.