Active NPI
Deborah L Matosky, CNP
- Nurse Practitioner
- Moraine, OH
National Provider Identifier
1811936388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP01598
- Practice address
- 2912 Springboro W
Suite 201
Moraine, OH 45439-1674 - Phone
- (937) 297-8999
- Fax
- (937) 233-1965
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP01598 | OH | Primary |
Addresses
Primary practice location
2912 Springboro W
Suite 201
Moraine, OH 45439-1674
Mailing address
2337 Sugar Ridge LN
Centerville, OH 45458-2862
Phone (937) 297-8999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000638084 | Other | OH | BCBS-OH |
| 421534506159 | Other | OH | CARESOURCE |
| 2050435 | Medicaid | OH |
Other names 1
- Deborah L Stemple
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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 Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1811936388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 SUGAR RIDGE LN",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454582862",
"telephone_number": "937-297-8999",
"fax_number": "937-233-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO W",
"address_2": "SUITE 201",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999",
"fax_number": "937-233-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOSKY",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP01598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-OH",
"identifier": "000000638084",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "421534506159",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2050435",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "STEMPLE",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.