Amanda Mata, PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F04170401 Issued in TX

Practice address

100 E Ridge Rd Ste a
McAllen, TX 78503-1346

Phone

(956) 682-1888

Fax

(956) 661-2207

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knapp Medical Center Hospital, Weslaco, TX, CCN 450128

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

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

• Texas Oncology PA

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1811944101
  Medicare reassignment Care Compare group NPD
• Hni Hospital Services of Texas, Inc

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1053884080
  Medicare reassignment NPD
• Hni Physician Services of Texas, Inc

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1538729744

  Nurse Practitioner

  Medicare reassignment NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Dallas, TX
  • NPI 1003083445
  NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Pearland, TX
  • NPI 1912174350
  NPD

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

• Knapp Medical Center

  • General Acute Care Hospital
  • Weslaco, TX
  • NPI 1861488579
  Care Compare affiliation

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1174050272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024449",
            "telephone_number": "956-682-1888",
            "fax_number": "956-661-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E RIDGE RD STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031346",
            "telephone_number": "956-682-1888",
            "fax_number": "956-661-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F04170401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashmira K Massani, MD
• Ashley C Massias, MD
• Bryan Javier Masso
• Rosa Mata Cantu
• Mata Physical Therapy Clinic
• Dennise Abigail Mata
• Josefina Mata, LMSW
• Juan C Mata, PT
• Miguel Angel Mata, FNP-C
• Deborah Mateo Velez

• Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.