Individual provider Active NPI

Matthew Gerard Schiebner, NP

  • Family Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1720379381
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704246701 Issued in MI
Practice address
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone
(843) 770-0444
Fax
(843) 579-3771
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 4704246701 MI Primary

Addresses

Primary practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Mailing address

11 Stepping Stone Way
Bluffton, SC 29910-4428
Phone (989) 714-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110902000071 MI Practitioner - Nurse Practitioner 6507036324 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704246701MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tazeen Ahmed LLC CurrentSince Apr 1, 2017 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jun 20, 2011 Accepting new patients
Covenant Medical Center, Inc CurrentSince Jun 20, 2011 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2919 Wilder Rd
Ste 110
Bay City, MI 48706
Phone (989) 671-5700

2110 16th St
Ste 4
Bay City, MI 48708
Phone (989) 891-9000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3785 Bay Rd
Saginaw, MI 48603

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

Organizations & group practices 4

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1720379381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STEPPING STONE WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104428",
            "telephone_number": "989-714-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-770-0444",
            "fax_number": "843-579-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEBNER",
        "first_name": "MATTHEW",
        "middle_name": "GERARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.