Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Seth L Stephenson

Individual provider Nurse Practitioner · NPI 1164778924

Mr. Seth L Stephenson is a Nurse Practitioner in Mason, Ohio. Qualified in 2012, 14 years ago. Practices with The Dermatology Group Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
14
Licensed in
KY, OH
In the registry since
2012
Specialties on file
3

Practice location Address checks out

5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone: (513) 770-4212
Fax: (513) 770-4213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence COA.13574-NP (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.13574-NP (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3007647 (KY)

Record details

NPI number1164778924
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESDecember 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Dermatology Group Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mason