Individual provider Active NPI

Matthew Christian Stallard, MS, APRN, AGNP-C

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1700354578
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
300563 Issued in AZ
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

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20220321001889 CO Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20220419002448 OR Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20220420001170 MT Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20230130001883 WA Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20230622000234 NY Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20230925001589 OH Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20240110000343 AZ Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization
I20250502001509 UT Practitioner - Nurse Practitioner 0345635777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 10, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 12, 2023 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.

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

Verify at the official NPI Registry.