GISELLE ALICIA MATA FNP
NPI 1255659892
Nurse Practitioner in Santa Ana, CA

Active since May 06, 2010PECOS Enrolled
1212 W 17TH ST, SANTA ANA, CA 92706(714) 377-2348(714) 377-2866 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Giselle Alicia Mata Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GISELLE ALICIA MATA FNP (NPI 1255659892) is an individual nurse practitioner in Santa Ana, California, licensed in California (NP19537) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255659892
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGISELLE ALICIA MATACredential: FNP
Location Address1212 W 17TH STSanta Ana, CA 92706-3418
Mailing Address17360 Brookhurst Street, Attn: Credentialing Dept.Fountain Valley, CA 92708-3720 · (657) 241-3592 · Fax (714) 665-4614
Fax(714) 377-2866
Sole ProprietorNo
Enumeration DateMay 6, 2010
Last NPPES UpdateMay 20, 2016
NPI 1255659892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP19537
Definition

(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.

1212 W 17TH ST, Santa Ana, CA 92706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Giselle Alicia Mata Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Physician Assistant
1212 W 17TH ST
SANTA ANA, CA 92706
Pediatrics
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Non-Pharmacy Dispensing Site
1212 W 17TH ST
SANTA ANA, CA 92706

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 Giselle Mata's NPI number?

The NPI number for Giselle Mata is 1255659892. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Giselle Mata located?

Giselle Mata practices at 1212 W 17th St, Santa Ana, CA 92706. The listed phone number is (714) 377-2348.

What is Giselle Mata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Giselle Mata enrolled in Medicare?

Yes. Giselle Mata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Giselle Mata was last updated on May 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.