Individual provider Active NPI

Miguel Angel Mata, FNP-C

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1235599168
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130507 Issued in TX
Practice address
6316 N 10TH St Ste C2
McAllen, TX 78504-3890
Phone
(956) 558-0333
Fax
(956) 600-7511
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130507 TX Primary

Addresses

Primary practice location

6316 N 10TH St Ste C2
McAllen, TX 78504-3890

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other practice location 1

4970 N Frontage Rd, Ste B
Brownsville, TX 78526
Phone (956) 558-0333

Other practice location 2

2511 Cornerstone Blvd Ste 2511
Edinburg, TX 78539-8463
Phone (956) 322-7662

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171026000519 TX Practitioner - Nurse Practitioner 7719253384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Vascular Institute, PLLCGroup PAC ID 2365851003, 3 clinicians

Practice addresses (Care Compare)

2511 Cornerstone Blvd
Suite 2511
Edinburg, TX 78539-8463
Phone (956) 322-7662

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Vascular Institute, PLLC CurrentSince Mar 26, 2021 Accepting new patients
Mission Adult & Senior Care Center PA. PastSince Mar 1, 2001 Accepting new patients
Anesthesia Provider Associates LLC PastSince Mar 26, 2021 Accepting new patients
Monzer H Yazji MD & Associates PLLC Past Accepting new patients

Locations

2511 Cornerstone Blvd
Ste 2511
Edinburg, TX 78539
Phone (956) 322-7662

Interoperability endpoints

  • Direct secure messaging: mmata@laser-surgical-solutions.direct.kno2fy.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1235599168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 N 10TH ST STE C2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043890",
            "telephone_number": "956-558-0333",
            "fax_number": "956-600-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4970 N Frontage Rd, Ste B",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "78526",
            "country_code": "US",
            "telephone_number": "956-558-0333",
            "fax_number": "956-600-7511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2511 Cornerstone Blvd Ste 2511",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398463",
            "country_code": "US",
            "telephone_number": "956-322-7662",
            "fax_number": "830-632-6568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.