Active NPI
Seth L Stephenson
- Nurse Practitioner
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.13574-NP
- Practice address
- 5298 Socialville Foster Rd
Mason, OH 45040-9302 - Phone
- (513) 770-4212
- Fax
- (513) 770-4213
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.13574-NP | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | COA.13574-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 3007647 | KY |
Addresses
Primary practice location
5298 Socialville Foster Rd
Mason, OH 45040-9302
Mailing address
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
330 Thomas More Pkwy
Crestview Hills, KY 41017-3417
Phone (513) 770-4212
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13574-NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dermatology Group, Inc | Current | Accepting new patients |
Locations
330 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 241-2360
330 Thomas More Pkwy
Ste 201
Crestview Hills, KY 41017
Phone (853) 934-4621
9403 Kenwood Rd
Ste B100
Blue Ash, OH 45242
Phone (513) 891-8045
4450 Eastgate Blvd
Ste 232
Cincinnati, OH 45245
Phone (513) 752-2247
1 Aviation Way
Cincinnati, OH 45215
Phone (513) 243-2946
6507 Harrison Ave
Unit I
Cincinnati, OH 45247
4000 Smith Rd
Ste 210
Cincinnati, OH 45209
5298 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953
36 Remick Blvd
Springboro, OH 45066
Interoperability endpoints
- https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1164778924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5298 SOCIALVILLE FOSTER RD",
"city": "MASON",
"state": "OH",
"postal_code": "450409302",
"telephone_number": "513-770-4212",
"fax_number": "513-770-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5298 SOCIALVILLE FOSTER RD",
"city": "MASON",
"state": "OH",
"postal_code": "450409302",
"telephone_number": "513-770-4212",
"fax_number": "513-770-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "SETH",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.13574-NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.13574-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.