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
Mailing address5298 Socialville Foster Rd, Mason, OH 45040-9302

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