MRS. SARAH JO MATA (NP-C) – Family Nurse Practitioner, NPI 1417329129

MRS. SARAH JO MATA (NP-C) is a healthcare provider. based in Atchison, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 76975 (KS). The NPI Number for MRS. SARAH JO MATA (NP-C) is 1417329129

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARAH JO MATA (NP-C)
NPI
1417329129
Phone
(913) 367-4879
Address
1412 N 2ND ST
Enumeration Date
21 October 2015
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133674879
Graduation Year
2015 (11 years ago)
PAC ID
9436450814
Group Practice PAC ID
6002131091
Professional Enrollment ID
I20151209002389
Address ID
KS660021203AT1412XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MRS. SARAH JO MATA (NP-C)

  • 1412 N 2ND ST

    ATCHISON, KS 660021203

    Phone: (913) 367-4879

    Fax: (913) 360-0240

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Novo Nordisk Inc ($45).

Total Amount

$113

General + Research + Ownership

Payments

7

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20151209002389INurse PractitionerKS2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
83036Hemoglobin a1c level3015$0
View full utilization report →

Insurance plans in this area (ZIP 66002)

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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: 6002131091View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
Mental Health CounselorCT
-KS
-KS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up MRS. SARAH JO MATA (NP-C) by NPI?
Use NPI 1417329129 when you need to reference MRS. SARAH JO MATA (NP-C) in forms, claims, or directories.
Is MRS. SARAH JO MATA (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. SARAH JO MATA (NP-C) work in?
You can think of MRS. SARAH JO MATA (NP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SARAH JO MATA (NP-C)?
The snapshot lists Atchison, Kansas for MRS. SARAH JO MATA (NP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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