Haylie Ashtyn Mata

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220582 Issued in OK

Practice address

50 E 2040 Rd
Boswell, OK 74727-9385

Phone

(580) 920-5870

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By 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

Other names 1

• Haylie Ashtyn McGowan Former name

Medicare fee-for-service enrollment

Enrolled in OK

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Marshall County Hma, LLCGroup PAC ID 5193985653, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Madill Hospital, Madill, OK, CCN 371326
• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• Atoka County Medical Center Hospital, Atoka, OK, CCN 371300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haylie.mata.1@4696.direct.athenahealth.com
• Direct secure messaging: haylie.mata.2@4696.direct.athenahealth.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.

• Durant Hma Physician Management, LLC

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1043361116
  Medicare reassignment Care Compare group NPD
• Marshall County Hma LLC

  • Family Medicine Physician
  • Durant, OK
  • NPI 1356874374
  Medicare reassignment Care Compare group NPD
• Breedlove Wound Care of Oklahoma LLC

  • Surgery Physician
  • Madill, OK
  • NPI 1659183135
  Medicare reassignment NPD
• Marshall County Hma, LLC

  dba AllianceHealth Atoka Clinic

  • Rural Health Clinic/Center
  • Atoka, OK
  • NPI 1003670647
  NPD
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  NPD (past)
• OB/GYN Associates of Durant

  dba Hma

  • Obstetrics & Gynecology Physician
  • Durant, OK
  • NPI 1225085632
  NPD (past)

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

• Atoka County Healthcare Authority

  dba Atoka County Medical Center

  • Critical Access Hospital
  • Atoka, OK
  • NPI 1508896499
  Care Compare affiliation
• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  Care Compare affiliation
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  Care Compare affiliation

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1992525976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 2040 RD",
            "city": "BOSWELL",
            "state": "OK",
            "postal_code": "747279385",
            "telephone_number": "580-920-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 2040 RD",
            "city": "BOSWELL",
            "state": "OK",
            "postal_code": "747279385",
            "telephone_number": "580-920-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "HAYLIE",
        "middle_name": "ASHTYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLIE",
            "last_name": "MCGOWAN",
            "middle_name": "ASHTYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amelia Gayle Lee (A Plus Medical Supplies)
• Boswell Public Schools
• Jesse Michael Farmer Sr., RN
• Jodie H Moore, APRN-CNP
• Julie Palmer
• Pushmataha Family Medical Center Inc (Pushmataha Family Medical Center of Boswell)
• Ashley Smallwood
• Amanda Lyn Vandenburg, APRN-CNP

• Family Nurse Practitioner in Boswell, OK
• Providers in Boswell, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.