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MRS. HEATHER LYNNE MATA PA-C
NPI 1518912971
Physician Assistant - Medical in Terre Haute, IN

Active since May 24, 2006PECOS Enrolled
3495 S 4TH ST, TERRE HAUTE, IN 47802(812) 220-4755(812) 231-4475 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2024, Sep 30, 2020 (2 updates tracked since 2020).

About Mrs. Heather Lynne Mata Pa-c NPPES

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

MRS. HEATHER LYNNE MATA PA-C (NPI 1518912971) is an individual medical provider in Terre Haute, Indiana, licensed in Indiana (10001212A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518912971
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. HEATHER LYNNE MATACredential: PA-C
Location Address3495 S 4TH STTerre Haute, IN 47802-5501
Mailing Address3495 S 4th StTerre Haute, IN 47802-5501 · (812) 220-4755 · Fax (812) 231-4475
Phone(812) 220-4755
Fax(812) 231-4475
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1518912971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10001212A
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601002771 (MI)
3495 S 4TH ST, Terre Haute, IN 47802
Open in Google Maps ↗

Other Identifiers 2

Other0852915110MI · Bc Pin
Other1010612MI · Mclaren

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Heather Lynne Mata Pa-c 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.

Other Providers at the Same Location NPPES 2

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

WHITNEY BROOKS FNP-C
Nurse Practitioner (Family)
3495 S 4TH ST
TERRE HAUTE, IN 47802
Vigo County (812) 645-1892
PROACTIVE MSO, LLC
Clinic/Center (Primary Care)
3495 S 4TH ST
TERRE HAUTE, IN 47802
Vigo County (812) 220-4755

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 Heather Mata's NPI number?

The NPI number for Heather Mata is 1518912971. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Heather Mata located?

Heather Mata practices at 3495 S 4th St, Terre Haute, IN 47802. The listed phone number is (812) 220-4755.

What is Heather Mata's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Mata enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Mata was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.