Matilda Elliott Stephens, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO4970 Issued in LA

Practice address

3400 Medical Park Dr Ste B
Monroe, LA 71203-2300

Phone

(318) 387-6803

Fax

(318) 387-6874

NPI assigned

Oct 21, 2006

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Best Home Health Home health agency, West Monroe, LA, CCN 197086
• Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100Reported as apm

Quality

60.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911
  Medicare reassignment Care Compare group NPD
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment NPD
• Affinity Health Group, LLC

  dba Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Baton Rouge Clinic, a Medical Corporation

  dba Baton Rouge Clinic Eye Care

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD
• Dr. Keith Calhoun, a Professional Medical Corporation

  • Legal Medicine
  • Monroe, LA
  • NPI 1255659363
  NPD (past)
• Ronald C. Hubbard Sr., M.D. Apmc

  • Exclusive Provider Organization
  • Monroe, LA
  • NPI 1740437839
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monroe Surgical Hospital, LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1225031495
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation
• Truett Enterprises Inc

  dba Best Home Health

  • Home Health Agency
  • Monroe, LA
  • NPI 1003862384
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1003999459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032300",
            "telephone_number": "318-387-6803",
            "fax_number": "318-387-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MATILDA",
        "middle_name": "ELLIOTT",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458449",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Harding, DDS, a Professional Dental Corporation
• Stephen M. Beene, MD, Apmc
• Carla Stephens, NP
• Charles Stephens
• Mark Lane Stephens, FNP-C
• Sanford Gray Stephens, D.D.S.
• Bobby Lynn Stephenson, PHD
• Kiley Edwards Stephenson, AU.D., CCC-A
• Joseph Sterling
• Sterlington Physical Therapy, LLC

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.