Individual provider Active NPI

Danielle Renee Steilen-Matias, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1538404884
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9109150 Issued in FL
Practice address
9738 Commerce Center CT
Fort Myers, FL 33908-3670
Phone
(239) 303-4069
Fax
(855) 779-1950
NPI assigned
Nov 27, 2012
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.004528 IL
Physician Assistant 363A00000X 9109150 FL Primary

Addresses

Primary practice location

9738 Commerce Center CT
Fort Myers, FL 33908-3670

Mailing address

9738 Commerce Center CT
Fort Myers, FL 33908-3670
Phone (239) 303-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9109150FLMDPhysician Assistant
085.004528ILMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1538404884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083670",
            "telephone_number": "239-303-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083670",
            "telephone_number": "239-303-4069",
            "fax_number": "855-779-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEILEN-MATIAS",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2021-03-09",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004528",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.