GLENDA ELIZABETH MATA
NPI 1801618996
Nurse Practitioner - Pediatrics in Edinburg, TX

Q: What is Glenda Mata's NPI number?

The NPI number for Glenda Mata is 1801618996. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Q: What is Glenda Mata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Glenda Mata was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 29, 2024PECOS Enrolled

5502 S MCCOLL RD, EDINBURG, TX 78539(956) 362-4451 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Glenda Elizabeth Mata NPPES

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

GLENDA ELIZABETH MATA (NPI 1801618996) is an individual pediatrics provider in Edinburg, Texas, licensed in Texas (1178177) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1801618996

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGLENDA ELIZABETH MATA

Location Address5502 S MCCOLL RDEdinburg, TX 78539-8747

Mailing Address3510 N 40th LnMcallen, TX 78501-3307 · (956) 336-7412

Phone(956) 362-4451

Sole ProprietorNo

Enumeration DateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1801618996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 1178177

5502 S MCCOLL RD, Edinburg, TX 78539

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Secondary Practice Location 1

Location 1922 S Closner BlvdEdinburg, TX 78539-5609 · Phone (956) 381-8431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenda Elizabeth Mata 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 78539 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

MARILIN HERNANDEZ RN

Registered Nurse (Maternal Newborn)