Individual provider Active NPI

Matthew Mitchell Stone, NP-C

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1760867733
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17761-NP Issued in OH
Practice address
1805 27TH St
Portsmouth, OH 45662-2640
Phone
(740) 356-5000
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012406 KY
Family Nurse Practitioner 363LF0000X COA.17761-NP OH Primary

Addresses

Primary practice location

1805 27TH St
Portsmouth, OH 45662-2640

Mailing address

5129 State Route 7
South Shore, KY 41175-8828
Phone (606) 922-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221201000525 KY Practitioner - Nurse Practitioner 9638487671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Em-I Medical Services PSCGroup PAC ID 8325001175, 42 clinicians

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (954) 939-5000

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012406KYMDFamily Nurse Practitioner
COA.17761-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Specialists, Inc Family CurrentSince Jan 20, 2025 Accepting new patients
Kentucky Em-I Medical Services PSC CurrentSince Oct 1, 2022 Accepting new patients
Eventus Ecs, Inc CurrentSince Jan 20, 2025 Accepting new patients
Epmg of Ohio Inc P a CurrentSince Aug 1, 2015 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: mstone86884@direct.kdhealth.us
  • Direct secure messaging: matthew.stone@somc.medicity.net

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1760867733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 STATE ROUTE 7",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411758828",
            "telephone_number": "606-922-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622640",
            "telephone_number": "740-356-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MATTHEW",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012406",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17761-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.