Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932691391 Individual Practitioner Female Practitioner

Peggy Sue Matailo , LPN

Licensed Practical Nurse • Waterville, OH

Professional Overview & Biography Verified Profile Summary

Peggy Matailo, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Waterville, OH. Practice services are available at 1501 PRAY BLVD APT E111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 Pray Blvd Apt E111

Waterville, OH 435668782

Telephone 9144716349

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Waterville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Waterville, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 315542-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Homemaker

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 18, 2025

Registered at 1501 PRAY BLVD APT E111, WATERVILLE, OH 435668782 (Tel: 9144716349)

📍
Updated Business Mailing Address June 18, 2025

Registered at 1501 PRAY BLVD APT E111, WATERVILLE, OH 435668782 (Tel: 9144716349)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2025

Homemaker

NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 413 DECATUR AVE, PEEKSKILL, NY 105662109 (Tel: 9144716349)

📍
Updated Business Mailing Address June 01, 2018

Registered at 413 DECATUR AVE, PEEKSKILL, NY 105662109 (Tel: 9144716349)

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as PEGGY MATAILO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Licensed Practical Nurse (License #315542-1 in NY)

🟢
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932691391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: June 18, 2025
Sole Proprietor: No

Mailing Address

1501 Pray Blvd Apt E111

Waterville, OH 435668782

Phone: 9144716349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.