OrganizationActive
Waverly Primary Care, PLLC
NPI 1215557715 · Family Nurse Practitioner · New Waverly, TX
Provider details
- NPI number
- 1215557715
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristina Mata, Owner, Authorized Official(936) 284-2055
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9329 State Hwy 75
New Waverly, TX 77358
Phone: (936) 284-2055
Approximate (ZIP-level) locationGet directions
Mailing address
24 Long Horn Loop
New Waverly, TX 77358-3735
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2020-04-24
- Certified
- 2020-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.