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

John Michael Blanco Mata, NP

Individual provider Acute Care Nurse Practitioner · NPI 1639871247

John Michael Blanco Mata, NP is a Nurse Practitioner in Prescott, Arizona. Qualified in 2022, 4 years ago. Practices with Naz Hospitalists Inc, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
Specialties on file
5
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3250 Gateway Blvd Ste 112
Prescott, AZ 86303-6856
Phone: (708) 248-0049
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 267971 (AZ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 267971 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 267971 (AZ)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 267971 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 267971 (AZ)

Record details

NPI number1639871247
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing addressPo Box 522, Humboldt, AZ 86329-0522

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Naz Hospitalists Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Prescott