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STEFANIE MATOS MEDINA CRNP
NPI 1104771682
Nurse Practitioner - Family in Philadelphia, PA

Active since March 02, 2026
2981 GRANT AVE, PHILADELPHIA, PA 19114(215) 632-4550(215) 632-7865 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefanie Matos Medina Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANIE MATOS MEDINA CRNP (NPI 1104771682) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP035406) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104771682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEFANIE MATOS MEDINACredential: CRNP
Location Address2981 GRANT AVEPhiladelphia, PA 19114-1024
Mailing Address2106 Longview RdWarrington, PA 18976-1525 · (215) 498-0085
Phone(215) 632-4550
Fax(215) 632-7865
Sole ProprietorNo
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1104771682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP035406
2981 GRANT AVE, Philadelphia, PA 19114
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD S. MANDEL, P.C.
Family Medicine
2981 GRANT AVE
PHILADELPHIA, PA 19114
Philadelphia County (215) 632-4550
DR. RICHARD S MANDEL D.O.
Family Medicine
2981 GRANT AVE
PHILADELPHIA, PA 19114
Philadelphia County (215) 632-4551
BRIDGETTE MANN DR.
Chiropractor
2981 GRANT AVE
PHILADELPHIA, PA 19114
Philadelphia County (215) 632-3074
GERSON ASSOCIATES, P.C.
Durable Medical Equipment & Medical Supplies
2981 GRANT AVE, SUITE 200
PHILADELPHIA, PA 19114
Philadelphia County (215) 535-3335
CASSANDRA MARIE PIO PA-C
Physician Assistant
2981 GRANT AVE
PHILADELPHIA, PA 19114
Philadelphia County (215) 632-4550
CORE PERFORMANCE AND REHABILITATION
Physical Therapist
2981 GRANT AVE
PHILADELPHIA, PA 19114
Philadelphia County (215) 860-3623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanie Matos Medina's NPI number?

The NPI number for Stefanie Matos Medina is 1104771682. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Stefanie Matos Medina located?

Stefanie Matos Medina practices at 2981 Grant Ave, Philadelphia, PA 19114. The listed phone number is (215) 632-4550.

What is Stefanie Matos Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stefanie Matos Medina was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.