Stefanie Matos Medina, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP035406 Issued in PA

Practice address

2981 Grant Ave
Philadelphia, PA 19114-1024

Phone

(215) 632-4550

Fax

(215) 632-7865

NPI assigned

Mar 2, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1104771682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 LONGVIEW RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761525",
            "telephone_number": "215-498-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141024",
            "telephone_number": "215-632-4550",
            "fax_number": "215-632-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS MEDINA",
        "first_name": "STEFANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caio Matias, M.D.
• Orlando Matiz, M.D.
• Eileen Matlack, M.D.
• Lauren Matlack, MD
• Samantha Matlin, PHD
• Iliana Matos
• Miguel Angel Matos, MS
• Waleska Matos
• Marc A Matozzo, DO
• Elizabeth A. Matray, P.A.-C.

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.