Individual provider Active NPI

Katy Elizabeth Matos, NP

  • Family Nurse Practitioner
  • Newburyport, MA
National Provider Identifier
1811247851
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2269725 Issued in MA
Practice address
28 Green St
Newburyport, MA 01950-2650
Phone
(978) 465-7719
NPI assigned
Sep 18, 2012
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 RN2269725 MA Primary

Addresses

Primary practice location

28 Green St
Newburyport, MA 01950-2650

Mailing address

28 Green St
Newburyport, MA 01950-2650
Phone (978) 465-7719

Other practice location 1

7 Graf Rd
Newburyport, MA 01950-4076
Phone (978) 255-4607

Other identifiers 1

IdentifierTypeStateIssuer
1100109518AMedicaidMA

Other names 1

  • Katy Elizabeth Savastano Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL eclinicalworks.com Health Information Exchange (HIE)
Direct Messaging Address katy.savastano@nsi.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161221001393 MA Practitioner - Nurse Practitioner 3870874308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

28 Green St
Newburyport, MA 01950-2650
Phone (978) 834-8074

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jul 8, 2025 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Nov 8, 2016 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

28 Green St
Newburyport, MA 01950
Phone (978) 465-1234

7 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (978) 255-4607

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

Interoperability endpoints

  • Direct secure messaging: matos.katy.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: mmatos252578@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1811247851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502650",
            "telephone_number": "978-465-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502650",
            "telephone_number": "978-465-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Graf Rd",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019504076",
            "country_code": "US",
            "telephone_number": "978-255-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "KATY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2269725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100109518A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eclinicalworks.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28 Green St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019502650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katy.savastano@nsi.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP North Shore Internal Medicine eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "28 Green St",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019502650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "SAVASTANO",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.