Individual provider Active NPI

Kerri Stone

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1053077198
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28197193 Issued in IN
Practice address
7910 E Washington St
Indianapolis, IN 46219-5533
Phone
(317) 355-3200
Fax
(317) 355-3201
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28197193 IN Primary

Addresses

Primary practice location

7910 E Washington St
Indianapolis, IN 46219-5533

Mailing address

7910 E Washington St
Indianapolis, IN 46219-5533
Phone (317) 355-3200

Other names 1

  • Kerri L Hackler Henvey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220204000766 IN Practitioner - Nurse Practitioner 5799178273 Reassigns benefits to 1 organization
I20230509000689 FL Practitioner - Nurse Practitioner 5799178273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28197193INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pcma Palliative Division LLC CurrentSince Jun 30, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 10, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 10, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince May 8, 2023 Accepting new patients

Locations

810 N Spring Garden Ave
Ste 100
Deland, FL 32720
Phone (386) 279-0060

2824 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-7411

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

5819 Reliable Pkwy
Chicago, IL 60686

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7910 E Washington St
Indianapolis, IN 46219
Phone (317) 355-1330

1400 N Ritter Ave
Ste 120
Indianapolis, IN 46219
Phone (317) 355-1000

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Interoperability endpoints

  • Direct secure messaging: khackler7776@ecommunitydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1053077198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195533",
            "telephone_number": "317-355-3200",
            "fax_number": "317-355-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195533",
            "telephone_number": "317-355-3200",
            "fax_number": "317-355-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "KERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28197193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "HACKLER HENVEY",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.