NPIMap

Individual provider Active NPI

Matthew L Stinson, M.D.

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1366533937
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002014473 Issued in MO
Practice address
440 E Tampa St
Springfield, MO 65806-1131
Phone
(417) 831-0150
Fax
(417) 831-0155
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002014473 MO Primary

Addresses

Primary practice location

440 E Tampa St
Springfield, MO 65806-1131

Mailing address

PO Box 5681
#540
Springfield, MO 65801-5681
Phone (417) 831-0150

Other identifiers 2

IdentifierTypeStateIssuer
189235OtherBLUE CROSS OF MO
209149905MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000041 MO Practitioner - Family Practice 4688648850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Mar 5, 2007 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Mar 5, 2007 Accepting new patients
Regional Services Past Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Lester E. Cox Medical Centers Family Medicine Past Accepting new patients

Locations

1216 Deadra Dr
Lebanon, MO 65536
Phone (417) 532-7102

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: mstinson694678@direct.ochin.org
  • Direct secure messaging: matthew.stinson.p1@direct.jordanvalley.nextgenshare.com
  • Direct secure messaging: matthew.stinson@cernerdirect.coxhealth.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jordan Valley Community Health CenterMarshfield, MO, CCN 261023 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterSpringfield, MO, CCN 261034 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterHollister, MO, CCN 261074 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterRepublic, MO, CCN 261078 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health Center - LebanonLebanon, MO, CCN 261104 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterSpringfield, MO, CCN 261138 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterSpringfield, MO, CCN 261928 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterLebanon, MO, CCN 261937 Federally qualified health center Corporate Officer Jun 1, 2024
Jordan Valley Community Health CenterBuffalo, MO, CCN 791918 Federally qualified health center Corporate Director
Operational/Managerial Control		 Dec 1, 2025
Dec 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocates for a Healthy Community Inc 55 clinicians

Practice addresses (Care Compare)

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1366533937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5681",
            "address_2": "#540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658015681",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002014473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "189235",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209149905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.