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Active NPI 1639871247 Individual Practitioner Male Practitioner

John Michael Blanco Mata , NP

Nurse Practitioner • Prescott, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

John Michael Mata, NP is a certified Nurse Practitioner practicing in Prescott, AZ. With approximately 4 years of clinical experience since completing medical education in 2022, John Michael Mata delivers high-quality medical care to the local community at 3250 GATEWAY BLVD STE 112.

John Michael Mata maintains professional affiliations with Alaga Health Chronic Care Management Llc, Naz Hospitalists Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3250 Gateway Blvd Ste 112

Prescott, AZ 863036856

Telephone 7082480049
Associated Practice Facility / Clinic
🏢 Alaga Hospice Llc Facility NPI 1801540109

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Prescott, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.6 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Prescott, AZ (1459 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mata (4 Years) 4 Yrs
Prescott Specialty Average (8.6 Years) 8.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
239 121 $212.00 $64.13
99239 Hospital discharge day management, more than 30 minutes
126 124 $309.00 $92.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
116 115 $352.00 $105.99
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
46 28 $91.00 $51.53
99291 Critical care, first 30-74 minutes
34 26 $742.00 $154.88
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
13 11 $70.00 $39.45

Medical Specialties & State Licenses

CMS Verified: 2024-01-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ 267971

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License AZ 267971

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License AZ 267971

Definition to come...

Nurse Practitioner - Critical Care Medicine

NUCC Taxonomy Code: 363LC0200X

State License AZ 267971

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License AZ 267971

Definition to come...

Hospital & Practice Group Affiliations

Naz Hospitalists Inc

1003 Willow Creek Rd, Prescott, AZ 863011641

Phone: 9287715470

Alaga Health Chronic Care Management Llc

3250 Gateway Blvd, Prescott, AZ 863036846

Phone: 9283507900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Shawn Mitchell , APRN

Nurse Practitioner - Adult Health

NPI 1750909008

Advanced Practice Registered Nurse

Jessica Greenberg , FNP-BC

Nurse Practitioner - Family

NPI 1851283527

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 3250 GATEWAY BLVD STE 112, PRESCOTT, AZ 863036856 (Tel: 7082480049)

📍
Updated Business Mailing Address March 20, 2023

Registered at PO BOX 522, HUMBOLDT, AZ 863290522 (Tel: 7082480049)

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as JOHN MICHAEL MATA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Nurse Practitioner (License #267971 in AZ)

🟢
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639871247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: January 31, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 522

Humboldt, AZ 863290522

Phone: 7082480049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.