MS. STEPHANIE M MATLOCK (CRNP) – Family Nurse Practitioner, NPI 1184648875

MS. STEPHANIE M MATLOCK (CRNP) is a healthcare provider. based in Erie, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. UP006969B (PA). The NPI Number for MS. STEPHANIE M MATLOCK (CRNP) is 1184648875

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. STEPHANIE M MATLOCK (CRNP)
NPI
1184648875
Phone
(814) 453-7767
Address
2315 MYRTLE ST STE 190
Enumeration Date
26 July 2006
Last Update Date
1 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144537767
Graduation Year
2001 (25 years ago)
PAC ID
6002815982
Group Practice PAC ID
7214124221
Professional Enrollment ID
I20061205000032
Address ID
PA165024604ER2315XSTXX301

Contacts

Secure Messaging
smatlock148867@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

11,556 NURSE PRACTITIONER in PA

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Provider Addresses for MS. STEPHANIE M MATLOCK (CRNP)

  • 190, Myrtle Street, West Bayfront, Erie, Erie County, Pennsylvania, 16507, United States

    ERIE, PA 165024604

    Phone: (814) 453-7767

    Fax: (814) 454-6667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $5,048.

Total Amount is formed as General ($5,048) + Research ($0) + Ownership ($0) = $5,048.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Boston Scientific Corporation ($2,866).

Total Amount

$5,048

General + Research + Ownership

Payments

118

Total payment records

General Amount

$5,048

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061205000032INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes186130$0
View full utilization report →

Insurance plans in this area (ZIP 16502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214124221View full group profile
NameSpecialtyState
Cardiac ElectrophysiologyPA
Interventional CardiologyFL
Nurse PractitionerPA
Nurse PractitionerPA
Cardiovascular Disease (Cardiology)PA
Physician AssistantPA
Cardiovascular Disease (Cardiology)PA
-PA
Nurse PractitionerPA
Physician AssistantPA

Reviews

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Frequently asked questions

How do payers reference MS. STEPHANIE M MATLOCK (CRNP)?
For MS. STEPHANIE M MATLOCK (CRNP), use NPI 1184648875 as the unique 10-digit identifier.
Active or inactive — what applies to MS. STEPHANIE M MATLOCK (CRNP)?
You should see MS. STEPHANIE M MATLOCK (CRNP) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. STEPHANIE M MATLOCK (CRNP)?
MS. STEPHANIE M MATLOCK (CRNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. STEPHANIE M MATLOCK (CRNP)?
Directory geography for MS. STEPHANIE M MATLOCK (CRNP) centers on Erie, Pennsylvania.
Does MS. STEPHANIE M MATLOCK (CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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