Individual provider Active NPI

Sheila Ann Matosky, CNP

  • Adult Health Nurse Practitioner
  • Garfield HTS, OH
National Provider Identifier
1124376140
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA 13604-NP Issued in OH
Practice address
12300 McCracken Rd
Garfield HTS, OH 44125-2914
Phone
(216) 587-8724
Fax
(216) 518-5626
NPI assigned
Aug 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA 13604-NP OH Primary

Addresses

Primary practice location

12300 McCracken Rd
Garfield HTS, OH 44125-2914

Mailing address

12300 McCracken Rd # Matg100
Garfield HTS, OH 44125-2914
Phone (216) 587-8724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120904000363 OH Practitioner - Nurse Practitioner 5890942437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marymount Hospital Inc 16 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone (216) 587-8361

Hospital & facility affiliations

  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 13604-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1124376140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD # MATG100",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-587-8724",
            "fax_number": "216-518-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-587-8724",
            "fax_number": "216-518-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOSKY",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 13604-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

Verify at the official NPI Registry.