Active NPI
Jarret Matta, PHD, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 138803
- Practice address
- 971 Shelby Lane
Lewisville, TX 75056 - Phone
- (469) 231-4320
- NPI assigned
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 138803 | TX | Primary |
Addresses
Primary practice location
971 Shelby Lane
Lewisville, TX 75056
Mailing address
971 Shelby LN
Lewisville, TX 75056-3937
Phone (469) 231-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 W Parker Rd
Greater Houston Anesthesiology
Plano, TX 75093-8185
Phone (972) 981-3675
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138803 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Anesthesia Associates | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755
1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1932826211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 SHELBY LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750563937",
"telephone_number": "469-231-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 SHELBY LANE",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75056",
"telephone_number": "469-231-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "JARRET",
"credential": "PHD, APRN, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "138803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.