Individual provider Active NPI

Matthew David Sturzenegger, PNP-PC

  • Pediatric Nurse Practitioner
  • Williamston, NC
National Provider Identifier
1902563356
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5021631 Issued in NC
Practice address
413 W Main St
Williamston, NC 27892-2319
Phone
(252) 792-8101
Fax
(252) 792-7287
NPI assigned
Nov 19, 2021
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5021631 NC Primary

Addresses

Primary practice location

413 W Main St
Williamston, NC 27892-2319

Mailing address

413 W Main St
Williamston, NC 27892-2319
Phone (252) 792-8101

Other identifiers 1

IdentifierTypeStateIssuer
208613MedicaidAZ

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
300922AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzcare Pediatrics, PC PastSince Nov 6, 2022 Accepting new patients
Kidzcare Pediatrics, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1902563356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W MAIN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922319",
            "telephone_number": "252-792-8101",
            "fax_number": "252-792-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MAIN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922319",
            "telephone_number": "252-792-8101",
            "fax_number": "252-792-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURZENEGGER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5021631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208613",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.