EVELYN MATA (MSN,APRN, FNP-C) – Family Nurse Practitioner, NPI 1033905070

EVELYN MATA (MSN,APRN, FNP-C) is a healthcare provider. based in Aurora, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,APRN, FNP-C. They hold a License No. 209031577 (IL). The NPI Number for EVELYN MATA (MSN,APRN, FNP-C) is 1033905070

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
EVELYN MATA (MSN,APRN, FNP-C)
NPI
1033905070
Phone
(630) 892-4355
Address
400 N HIGHLAND AVE
Enumeration Date
16 April 2025
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152261300
Graduation Year
2024 (2 years ago)
PAC ID
8123545829
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20260209002489
Address ID
IL611082542RO6595XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

11,703 NURSE PRACTITIONER in IL

Provider Addresses for EVELYN MATA (MSN,APRN, FNP-C)

  • 400 N HIGHLAND AVE

    AURORA, IL 605063814

    Phone: (630) 892-4355

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-09

PECOS data refreshed: 2026-06-15

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
I20260209002489INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60506)

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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: 8729064159View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to EVELYN MATA (MSN,APRN, FNP-C)?
NPI 1033905070 is assigned to EVELYN MATA (MSN,APRN, FNP-C) under the national enumeration system.
Is EVELYN MATA (MSN,APRN, FNP-C) currently active in the NPI registry?
CMS-published data lists EVELYN MATA (MSN,APRN, FNP-C) as an active registrant.
What kind of provider is EVELYN MATA (MSN,APRN, FNP-C)?
The page reflects Family Nurse Practitioner for EVELYN MATA (MSN,APRN, FNP-C). Clinical services aligned with this taxonomy classification.
Does EVELYN MATA (MSN,APRN, FNP-C) practice in Illinois?
You will see Aurora, Illinois on file for EVELYN MATA (MSN,APRN, FNP-C) alongside any extra practice locations.
What if Aurora, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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