Active NPI
Elizabeth Carrie Matre, DNP, FNP-BC
- Family Nurse Practitioner
- Upper Arlington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.18940-NP
- Practice address
- 1885 West Henderson Rd
Upper Arlington, OH 43220-2501 - Phone
- (614) 354-2449
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.18940-NP | OH | Primary |
Addresses
Primary practice location
1885 West Henderson Rd
Upper Arlington, OH 43220-2501
Mailing address
3312 Medoma Dr
Columbus, OH 43204-2181
Phone (614) 354-2449
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001925 | OH | Practitioner - Nurse Practitioner | 6800187956 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sands Care Solutions, LLC
Practice addresses (Care Compare)
11294 Montgomery Rd
Cincinnati, OH 45249-2319
Phone (513) 815-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&S Primary Care LLC | Current | Accepting new patients | |
| S&S Care Solutions, LLC | Current | Accepting new patients | |
| CG Medical Associates Inc | Current | Accepting new patients |
Locations
11294 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 815-7000
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500
3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703
360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050
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.
-
- General Practice Physician
- Cincinnati, OH
- NPI 1659180800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1366899486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 MEDOMA DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432042181",
"telephone_number": "614-354-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WEST HENDERSON RD",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432202501",
"telephone_number": "614-354-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATRE",
"first_name": "ELIZABETH",
"middle_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.18940-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Arlington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.