Stephanie Nicole Matacia, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.0027442 Issued in OH

Practice address

1210 Gemini PL Ste 300
Columbus, OH 43240-6112

Phone

(614) 383-6450

NPI assigned

Sep 28, 2021

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Pain Solutions IncorporatedGroup PAC ID 7214008978, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Pain Solutions Incorporated

  • Interventional Pain Medicine Physician
  • Columbus, OH
  • NPI 1568639037
  Medicare reassignment Care Compare group NPD
• Integrated Pain Solutions Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, OH
  • NPI 1790535177
  NPD
• Ips ASC, LLC

  dba Gemini Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1518379205

  Interventional Pain Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grady Memorial Hospital

  • General Acute Care Hospital
  • Delaware, OH
  • NPI 1235174327
  Care Compare affiliation
• Ohiohealth Corporation

  dba Riverside Methodist Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  dba OhioHealth Laboratory Systems

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1649942715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734439",
            "telephone_number": "614-383-6450",
            "fax_number": "614-383-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GEMINI PL STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406112",
            "telephone_number": "614-383-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATACIA",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027442",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0027442",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "APRN.CNP.0027442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Neal Mastruserio, MD
• Jennifer Jefferis Mastruserio, MD
• Rukya A. Masum
• John P. Maszczak, O.D.
• Maria C Matacia, CCC-SLP
• Ashley Matalon
• Byalwanga Prince Matamba
• Ann Rose Matarrese, RDN
• Shabbir M. Matcheswalla, MD
• Heather A. Matejovich, NP

• Gerontology Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.

Verify at the official NPI Registry.