CHARLIE MATA CRNA
NPI 1013663343
Nurse Anesthetist, Certified Registered in Fort Lauderdale, FL
About Charlie Mata Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE MATA CRNA (NPI 1013663343) is an individual nurse anesthetist, certified registered in Fort Lauderdale, Florida, licensed in Florida (APRN11033142) and active in the NPI registry since February 2022. He is affiliated with Holy Cross Hospital and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charlie Mata Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Charlie Mata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ft. Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 393 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Fort Lauderdale, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charlie Mata's NPI number?
The NPI number for Charlie Mata is 1013663343. It was assigned to this individual provider in the NPPES registry on February 24, 2022.
Where is Charlie Mata located?
Charlie Mata practices at 4725 N. Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 771-8000.
What is Charlie Mata's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charlie Mata enrolled in Medicare?
Yes. Charlie Mata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Charlie Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Mata reassigns Medicare benefits to Holy Cross Hospital Inc (Ft. Lauderdale, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlie Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlie Mata accept?
Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Charlie Mata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Charlie Mata affiliated with any hospitals?
According to CMS data, Charlie Mata is affiliated with Holy Cross Hospital.
When was this NPI record last updated?
The NPPES record for Charlie Mata was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charlie Mata, CRNA · NPI 1013663343
Nurse Anesthetist, Certified Registered physician in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since February 24, 2022.
## Identity
- **NPI:** 1013663343 (Entity type: Individual)
- **Enumerated:** February 24, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN11033142 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4725 N. FEDERAL HWY, Fort Lauderdale, FL 33308-4603
- **Phone:** (954) 771-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Holy Cross Hospital Inc (NPI 1467401877, Ft. Lauderdale, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 21, 2025
- **Other identifiers:** Medicaid 124611300 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1013663343) · Data from the CMS NPPES public registry.