| NPI | 1265793319 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-06-05 |
| Last Updated | 2024-11-05 |
| Mailing Address | 603 W Country Club Rd Roswell, NM 88201-5211 United States Phone: (575) 624-4922 | Fax: (575) 624-4902 📍 View Map |
| Primary Practice Address | 603 W Country Club Rd Roswell, NM 88201-5211 United States Phone: (575) 624-4922 | Fax: (575) 624-4902 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NM | 1265793319 | BCBS NM |
| Other (non-Medicare) | NM | 634354YYH0 | MEDICARE |
| MEDICAID | NM | 79679021 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363LF0000X – Nurse Practitioner, Family | TX | 691067 |
| Yes | 363LF0000X – Nurse Practitioner, Family | NM | CNP-03502 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1265793319
Ann M Matakas FNP-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265793319. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Roswell, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265793319?
NPI 1265793319 belongs to Ann M Matakas FNP-C, a Nurse Practitioner, Family in Roswell, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265793319 active?
The current status of NPI 1265793319 in the NPPES registry is Active. The record was last updated on 2024-11-05.
What specialty is NPI 1265793319?
NPI 1265793319 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265793319?
You can verify NPI 1265793319 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265793319?
The primary practice address on file for NPI 1265793319 is 603 W Country Club Rd, Roswell, NM 88201-5211. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265793319 issued?
NPI 1265793319 was first issued (enumerated) on 2012-06-05. The NPPES record was last updated on 2024-11-05.
Practice Location Map
Ann M Matakas is located at 603 W Country Club Rd, Roswell, NM. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ann M Matakas. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265793319. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 691067 | TX |
| Nurse Practitioner, Family | CNP-03502 | NM |