Individual provider Active NPI

Matthew Winslow Stemann

  • Psychiatric/Mental Health Nurse Practitioner
  • Travelers Rest, SC
National Provider Identifier
1053113407
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30766 Issued in SC
Practice address
1 Havenwood LN Ste B
Travelers Rest, SC 29690-9680
Phone
(864) 834-8013
Fax
(877) 470-1267
NPI assigned
Mar 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30766 SC Primary

Addresses

Primary practice location

1 Havenwood LN Ste B
Travelers Rest, SC 29690-9680

Mailing address

1 Havenwood LN Ste B
Travelers Rest, SC 29690-9680
Phone (864) 834-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1005
Travelers Rest, SC 29690

PO Box
Suite 248
Bristol, NH 03222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30766SCMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1053113407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAVENWOOD LN STE B",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909680",
            "telephone_number": "864-834-8013",
            "fax_number": "877-470-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVENWOOD LN STE B",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909680",
            "telephone_number": "864-834-8013",
            "fax_number": "877-470-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMANN",
        "first_name": "MATTHEW",
        "middle_name": "WINSLOW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.