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

Matthew Steven Nienberg, PA

Individual provider Physician Assistant · NPI 1063661189

Matthew Steven Nienberg, PA is a Physician Assistant in Fremont, Ohio. Qualified in 2008, 18 years ago. Practices with Specialty Physicians of Blanchard Valley LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

715 S Taft Ave
Fremont, OH 43420-3237
Phone: (419) 334-6639
Fax: (419) 333-2793
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002810 (OH)

Record details

NPI number1063661189
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESNovember 22, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Specialty Physicians Of Blanchard Valley Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fremont