Matthew Stella

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015278 Issued in PA

Practice address

1 Parker Ave
Philadelphia, PA 19128-4431

Phone

(570) 905-6745

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Male

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJECCD
• Direct secure messaging: matthew.stellar.p1@direct.willseye.nextgenshare.com

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.

• Renew Wound Care of Pennsylvania LLC

  • Internal Medicine Physician
  • Wyncote, PA
  • NPI 1194442640
  Medicare reassignment NPD
• Advanced Vascular Associates, Inc.

  • Surgery Physician
  • Woodbury, NJ
  • NPI 1154402154

  PA

  Medicare reassignment NPD
• Well Medical Care PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1699427336

  PA

  Medicare reassignment NPD
• Guffanti Wound Associates PLLC

  • Acute Care Nurse Practitioner
  • Wayne, PA
  • NPI 1043935414
  Medicare reassignment
• Advanced Vascular and Wound Associates Inc

  • Internal Medicine Physician
  • Darby, PA
  • NPI 1205376381
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1154790186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284431",
            "telephone_number": "570-905-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284431",
            "telephone_number": "570-905-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLA",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Steitz
• Kerry Jill Steitz, CRNA
• Stella Strong Homecare LLC
• Stella Yurovsky (Eurooptika)
• Valerie Lynn Stella-Bahner, CRNP
• Perri Stella, CRNP
• Taylor Stella
• Colleen C Stellabotte, RN, MSN, CRNP
• Stellar Care Services LLC
• Stellas Helping Hands Services LLC

• 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 Sep 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.