NPIMap

Individual provider Active NPI

Allison Laurel Matava, CRNP

  • Primary Care Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1790513091
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP030200 Issued in PA
Practice address
1265 Wayne Ave Ste 103
Indiana, PA 15701-3501
Phone
(724) 463-1048
Fax
(724) 463-1049
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP030200 PA Primary

Addresses

Primary practice location

1265 Wayne Ave Ste 103
Indiana, PA 15701-3501

Mailing address

1265 Wayne Ave Ste 103
Indiana, PA 15701-3501
Phone (859) 475-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004349 PA Practitioner - Nurse Practitioner 5698214948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Diabetes and EndocrinologyGroup PAC ID 1254660202, 3 clinicians
Dr. Molly B. Trostle, DO, Internal Medicine, Inc.Group PAC ID 5092879957, 3 clinicians

Practice addresses (Care Compare)

1265 Wayne Ave
Indiana, PA 15701-3501
Phone (724) 463-1048

881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4220
Phone (814) 419-1308

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030200PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Molly B. Trostle, DO, Internal Medicine, Inc. CurrentSince Jul 24, 2024 Accepting new patients
Indiana Diabetes & Endocrinology CurrentSince Jan 5, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

881 Hills Plz
Ste 530
Ebensburg, PA 15931
Phone (814) 419-1308

1265 Wayne Ave
Ste 103
Indiana, PA 15701
Phone (724) 349-8280

Organizations & group practices 3

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 10

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1790513091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 103",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "859-475-1920",
            "fax_number": "877-712-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 103",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-1048",
            "fax_number": "724-463-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAVA",
        "first_name": "ALLISON",
        "middle_name": "LAUREL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP030200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.