CHRISTAL LOUISE DA MATA (FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750860367

CHRISTAL LOUISE DA MATA (FNP, PMHNP) is a healthcare provider. based in Greenacres, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials FNP, PMHNP. They hold a License No. 4704263161 (MI). The NPI Number for CHRISTAL LOUISE DA MATA (FNP, PMHNP) is 1750860367

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTAL LOUISE DA MATA (FNP, PMHNP)
NPI
1750860367
Phone
(561) 332-1762
Address
4550 S Jog Rd
Enumeration Date
14 August 2018
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174373879
Graduation Year
2017 (9 years ago)
PAC ID
7517201809
Group Practice PAC ID
1153402938
Professional Enrollment ID
I20181127001250
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

Provider Addresses for CHRISTAL LOUISE DA MATA (FNP, PMHNP)

  • 4550 S Jog Rd

    Greenacres, FL 334674160

    Phone: (561) 332-1762

    Type: Location

  • 1552 Palm Beach Lakes Blvd

    West Palm Beach, FL 334012302

    Phone: (561) 659-7411

    Type: Location

  • 3785, Bay Road, Consumers Energy, Saginaw, Saginaw Charter Township, Saginaw County, Michigan, 48603, United States

    SAGINAW, MI 486032433

    Phone: (989) 791-2455

    Fax: (989) 791-1392

    Type: Mailing

  • West Chicago Road, Coldwater, Coldwater Township, Branch County, Michigan, 49036, United States

    COLDWATER, MI 490368400

    Phone: (517) 924-1444

    Fax: (517) 924-1445

    Type: Location

  • 397 SW BELMONT CIR

    PORT ST LUCIE, FL 349537103

    Phone: (279) 718-8835

    Fax: (772) 673-8440

    Type: Mailing

  • 21301 POWERLINE RD STE 103

    BOCA RATON, FL 334332389

    Phone: (561) 235-5205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $2,102.

Total Amount is formed as General ($2,102) + Research ($0) + Ownership ($0) = $2,102.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($600).

Total Amount

$2,102

General + Research + Ownership

Payments

21

Total payment records

General Amount

$2,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220127000537INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes237108$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes15184$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8251$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2315$0
View full utilization report →

Insurance plans in this area (ZIP 33467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153402938View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerIN
-MI
Internal MedicineMI
Preventive Medicine, Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does CHRISTAL LOUISE DA MATA (FNP, PMHNP) have a public NPI I can cite?
Public records show CHRISTAL LOUISE DA MATA (FNP, PMHNP) under NPI 1750860367.
Is CHRISTAL LOUISE DA MATA (FNP, PMHNP)'s NPI status active today?
Active status means CHRISTAL LOUISE DA MATA (FNP, PMHNP)'s NPI record is not deactivated in the public file.
What services align with CHRISTAL LOUISE DA MATA (FNP, PMHNP)'s listing?
CHRISTAL LOUISE DA MATA (FNP, PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHRISTAL LOUISE DA MATA (FNP, PMHNP) tied to Greenacres, Florida?
If you are local to Greenacres, Florida, CHRISTAL LOUISE DA MATA (FNP, PMHNP) may be relevant to your search.
Can I export CHRISTAL LOUISE DA MATA (FNP, PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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