Individual provider Active NPI

Elizabeth Carrie Matre, DNP, FNP-BC

  • Family Nurse Practitioner
  • Upper Arlington, OH
National Provider Identifier
1366899486
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18940-NP Issued in OH
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

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 3678936994, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
S&S Primary Care LLC CurrentSince Jan 5, 2025 Accepting new patients
S&S Care Solutions, LLC CurrentSince Aug 1, 2023 Accepting new patients
CG Medical Associates Inc CurrentSince Dec 1, 2021 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.

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

Verify at the official NPI Registry.