Individual provider Active NPI

Elizabeth Sara Matey, NP

  • Family Nurse Practitioner
  • Cody, WY
National Provider Identifier
1245960335
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56359 Issued in WY
Practice address
707 Sheridan Ave
Cody, WY 82414-3409
Phone
(307) 527-7501
NPI assigned
Jun 13, 2022
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020572 CA
Family Nurse Practitioner 363LF0000X 95020572 CA
Family Nurse Practitioner 363LF0000X 56359 WY Primary

Addresses

Primary practice location

707 Sheridan Ave
Cody, WY 82414-3409

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other practice location 1

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-6000

Other practice location 2

424 Yellowstone Ave Ste 120
Cody, WY 82414-9311
Phone (307) 578-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220802000284 CA Practitioner - Nurse Practitioner 4082096466 Reassigns benefits to 3 organizations
I20250610002858 WY Practitioner - Nurse Practitioner 4082096466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

424 Yellowstone Ave
Suite 120
Cody, WY 82414-9311
Phone (307) 578-2903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020572CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Jun 1, 2025 Accepting new patients
Clinic Services of California Medical Group Inc Nurse Practitioner CurrentSince Dec 9, 2023 Accepting new patients
Team Physicians of Northern California Medical Group Inc Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
West Park Hospital District CurrentSince Jun 1, 2025 Accepting new patients
West Park Hospital District Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8851 Center Dr
Ste 600
La Mesa, CA 91942
Phone (619) 589-0785

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 6

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 2

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1245960335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Yellowstone Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824149311",
            "country_code": "US",
            "telephone_number": "307-578-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEY",
        "first_name": "ELIZABETH",
        "middle_name": "SARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "56359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.