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

Haylie Ashtyn Mata

Individual provider Family Nurse Practitioner · NPI 1992525976

Haylie Ashtyn Mata is a Nurse Practitioner in Boswell, Oklahoma. Qualified in 2024, 2 years ago. Practices with Durant Hma Physician Management LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

50 E 2040 Rd
Boswell, OK 74727-9385
Phone: (580) 920-5870
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 220582 (OK)

Record details

NPI number1992525976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 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 Durant Hma Physician Management Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boswell