Mary Louise Mattas, ARNP-C, CRNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9175209 Issued in FL

Practice address

1832 17TH Ave N
Lake Worth, FL 33460-6432

Phone

(561) 727-9260

NPI assigned

Sep 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: marylouise.mattas@hca4.eclinicaldirectplus.com

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.

• Palm Beach General Surgery LLC

  • Surgery Physician
  • Loxahatchee, FL
  • NPI 1235326760
  Medicare reassignment Care Compare group NPD
• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment NPD
• Ampmrox Inc

  • Medical-Surgical Registered Nurse
  • Lake Worth, FL
  • NPI 1508234725
  Authorized official Same address or phone

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida St. Lucie Hospital

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Lawnwood Medical Center Inc

  dba HCA Florida Lawnwood Hospital

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1346610813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 17TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606432",
            "telephone_number": "561-727-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 17TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606432",
            "telephone_number": "561-727-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAS",
        "first_name": "MARY LOUISE",
        "credential": "ARNP-C, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "ARNP9175209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9175209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakash K Mathai, RPH
• Ray Mathieu, BCBA
• Alena Arat Matig-a, PT
• Luis Matos
• Jose Luis Matta, DPT
• Skylar Matteson, CNIM
• Charles James Matuszak, M.D.
• John D Matz
• Joseph M Mauceri, M.D.
• Amanda Mavrakis, LMHC

• Family Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.