Individual provider Active NPI

Matthew Scott Stephany

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1124412101
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
432355 Issued in NY
Practice address
2410 Ridgeway Ave
Rochester, NY 14626-4114
Phone
(585) 723-3000
Fax
(585) 723-6877
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 432355 NY Primary

Addresses

Primary practice location

2410 Ridgeway Ave
Rochester, NY 14626-4114

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

360 Linden Oaks Ste 100
Rochester, NY 14625-2814
Phone (585) 723-3000

Other practice location 2

360 Linden Oaks Ste 200
Rochester, NY 14625-2814
Phone (585) 922-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstephany206117@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220915003768 NY Practitioner - Nurse Practitioner 4284019977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000

360 Linden Oaks
Rochester, NY 14625-2814
Phone (585) 922-7272

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
432355NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 15, 2022 Accepting new patients

Locations

2410 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-7150

360 Linden Oaks
Ste 200
Rochester, NY 14625
Phone (585) 922-9700

360 Linden Oaks
Rochester, NY 14625
Phone (585) 922-6200

360 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 723-2845

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: mstephany206117@direct.rochesterregional.org

Organizations & group practices 3

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 7

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1124412101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264114",
            "telephone_number": "585-723-3000",
            "fax_number": "585-723-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Linden Oaks Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-723-3000",
            "fax_number": "585-348-9389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Linden Oaks Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-922-9700",
            "fax_number": "585-922-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHANY",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "432355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephany206117@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "2410 Ridgeway Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.