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

Mrs. Michelle Renea Mata, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1932807112

Mrs. Michelle Renea Mata, FNP-BC is a Nurse Practitioner in Santee, California. Qualified in 2022, 4 years ago. Practices with Graybill Medical Group Inc, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

10109 Ashdale Ln
Santee, CA 92071-1635
Phone: (619) 560-3454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 East Second Avenue, Escondido, CA 92025 — (760) 291-6700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95024337 (CA)

Record details

NPI number1932807112
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

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 Graybill Medical Group Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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