Sarah Jo Mata, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76975 Issued in KS

Practice address

1412 N 2ND St
Atchison, KS 66002-1203

Phone

(913) 367-4879

Fax

(913) 360-0240

NPI assigned

Oct 21, 2015

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 KS

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

Atchison Community Health Clinic IncGroup PAC ID 6002131091, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

81.83

Promoting interoperability

99

Improvement activities

40

Cost

74.61

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.mata@khindirect.org

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.

• Atchison Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1407108335
  Medicare reassignment Care Compare group NPD
• Atchison Community Health Clinic Inc

  dba ACHC Primary Medical Service Site

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1619846029
  NPD (past)
• Atchison Community Health Clinic Inc

  dba ACHC-Leavenworth

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288
  NPD (past)

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

• Amberwell Atchison Association

  dba Amberwell Atchison

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1417329129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021203",
            "telephone_number": "913-367-4879",
            "fax_number": "913-367-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021203",
            "telephone_number": "913-367-4879",
            "fax_number": "913-360-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "SARAH",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Madden, LCMFT
• Janelle M. Maes Sr., LCMFT
• Meghan Marie Magner, D.C.
• Mainstream Mental Health
• Kerry Allan Marvin, M.A.
• Michelle McCullough, PHARMD
• Nicole McDevitt
• Michael W McGuire, LPC-T
• Cari Meats
• Medicalodges, Inc. (Gran Villas Atchison)

• Family Nurse Practitioner in Atchison, KS
• Providers in Atchison, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.