HAYLIE ASHTYN MATA
NPI 1992525976
Nurse Practitioner - Family in Boswell, OK

Active since October 14, 2024PECOS EnrolledAccepts Medicare Assignment
50 E 2040 RD, BOSWELL, OK 74727(580) 920-5870 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haylie Ashtyn Mata NPPES

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

HAYLIE ASHTYN MATA (NPI 1992525976) is an individual family provider in Boswell, Oklahoma, licensed in Oklahoma (220582) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992525976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHAYLIE ASHTYN MATA
Location Address50 E 2040 RDBoswell, OK 74727-9385
Mailing Address50 E 2040 RdBoswell, OK 74727-9385 · (580) 920-5870
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1992525976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 220582
50 E 2040 RD, Boswell, OK 74727

Other Names 1

Former Name (1)Haylie Ashtyn Mcgowan

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

Haylie Ashtyn Mata 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.

PECOS PAC ID6901335637
PECOS Enrollment IDI20250125000135
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Haylie Mata reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1610 W UNIVERSITY BLVD
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 17 clinicians in this Medicare group
Internal Medicine
1400 BRYAN DR, SUITE 301
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 35 clinicians in this Medicare group
Surgery
207 E TALIAFERRO ST
Madill, OK 73446
  • Reassigned Medicare billing, Oklahoma enrollment
  • 7 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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Alliancehealth Madill

Critical Access Hospitals · Madill, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371326
Location901 S 5th AveMadill, OK 73446 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74727 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Haylie Mata's NPI number?

The NPI number for Haylie Mata is 1992525976. It was assigned to this individual provider in the NPPES registry on October 14, 2024. The provider is also known as Haylie Ashtyn Mcgowan.

Where is Haylie Mata located?

Haylie Mata practices at 50 E 2040 Rd, Boswell, OK 74727. The listed phone number is (580) 920-5870.

What is Haylie Mata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Haylie Mata enrolled in Medicare?

Yes. Haylie 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 organizations bill Medicare for Haylie Mata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haylie Mata reassigns Medicare benefits to 3 organizations: Marshall County Hma LLC (Durant, OK), Durant Hma Physician Management, LLC (Durant, OK) and Breedlove Wound Care Of Oklahoma LLC (Madill, OK). Each 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 Haylie Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haylie Mata accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Haylie 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 Haylie Mata affiliated with any hospitals?

According to CMS data, Haylie Mata is affiliated with Alliancehealth Durant and Alliancehealth Madill.

When was this NPI record last updated?

The NPPES record for Haylie Mata was last updated on October 14, 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.