Individual provider Active NPI

Orland Mata, MSN, ARNP-BC

  • Family Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1235688441
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9422001 Issued in FL
Practice address
130 Medical Center Ave
Sebring, FL 33870-5463
Phone
(863) 840-0639
NPI assigned
Sep 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 ARNP9422001 FL Primary

Addresses

Primary practice location

130 Medical Center Ave
Sebring, FL 33870-5463

Mailing address

4525 Cod Ave
Sebring, FL 33870-8422
Phone (787) 909-5731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170323002386 FL Practitioner - Nurse Practitioner 6204111776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MP Primary Care ServicesGroup PAC ID 7618357880, 12 clinicians

Practice addresses (Care Compare)

2778 US Hwy 27 S
Avon Park, FL 33825-9755
Phone (863) 417-9990

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
MP Primary Care Services Family CurrentSince Apr 20, 2022 Accepting new patients
Fabio Oliveros & Associates PA CurrentSince Oct 16, 2016 Accepting new patients
Mata Health LLC Current Accepting new patients
Depression and Mental Health Services, LLC CurrentSince May 12, 2022 Accepting new patients

Locations

2778 US Highway 27 S
Avon Park, FL 33825
Phone (863) 336-5888

1110 Bell Shoals Rd
Ste 101
Brandon, FL 33511
Phone (863) 358-0500

200 N John Young Pkwy
Ste 101
Kissimmee, FL 34741
Phone (407) 518-9339

130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407

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.

Hospital & facility affiliations 1

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1235688441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 COD AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708422",
            "telephone_number": "787-909-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705463",
            "telephone_number": "863-840-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "ORLAND",
        "credential": "MSN, ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9422001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.