Active NPI
Matthew Christian Stallard, MS, APRN, AGNP-C
- Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 300563
- Practice address
- 5155 N High St
Columbus, OH 43214-1694 - Phone
- (614) 842-8007
- NPI assigned
- Nov 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.022881 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.022881 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.022881 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.022881 | OH | |
| Nurse Practitioner | 363L00000X | 300563 | AZ | Primary |
Addresses
Primary practice location
5155 N High St
Columbus, OH 43214-1694
Mailing address
5155 N High St
Columbus, OH 43214-1694
Phone (614) 842-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OR, MT, WA, NY, OH, AZ, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
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
- Bohemia, NY
- NPI 1871965855
Nurse Practitioner
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
AZ, Nurse Practitioner, OH, UT
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
CO, MT, OR, WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1700354578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141694",
"telephone_number": "614-842-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141694",
"telephone_number": "614-842-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLARD",
"first_name": "MATTHEW",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "MS, APRN, AGNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-09",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.022881",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.022881",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.022881",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.022881",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "300563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.