Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Guadalupe S Mata, CNP

Individual provider Family Nurse Practitioner · NPI 1700608775

Guadalupe S Mata, CNP is a Nurse Practitioner in Santa Rosa, New Mexico. Qualified in 2024, 2 years ago. Practices with Sunrise Clinics, a 31-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone: (575) 472-4311
Fax: (877) 651-0289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 — (505) 434-0119
  • 1024 S Pacific Street, Las Vegas, NM 87701 — (505) 426-2599
  • 166 Hospital Dr, Raton, NM 87740-2002 — (575) 445-3626
  • 220 S 3rd St, Tucumcari, NM 88401-2802 — (575) 461-8631

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-81461 (NM)

Record details

NPI number1700608775
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sunrise Clinics — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Santa Rosa