Individual provider Active NPI

Lauren June Stoffel, DO

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1063827053
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11017942A Issued in IN
Practice address
2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Phone
(260) 755-1304
Fax
(260) 755-1306
NPI assigned
Jun 27, 2014
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012859 OH
Family Medicine Physician 207Q00000X 11017942A IN Primary

Addresses

Primary practice location

2932 W Ludwig Rd
Fort Wayne, IN 46818-1328

Mailing address

2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Phone (260) 755-1304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608002527 IN Practitioner - Family Practice 2163649930 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11017942AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Nov 3, 2019 Accepting new patients
Indiana University Health Fort Wayne Physicians, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Neighborhood Health Clinics, Inc Family Medicine CurrentSince Aug 26, 2020 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Aug 26, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Everside Health Fort Wayne-W Ludwig Rd PastSince Mar 17, 2024 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

1100 Mercer Ave
Decatur, IN 46733

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

3350 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 423-2585

7230 Engle Rd
Fort Wayne, IN 46804
Phone (219) 422-9466

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

Interoperability endpoints

  • Direct secure messaging: lauren.stoffel.1@14940.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1063827053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 W LUDWIG RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181328",
            "telephone_number": "260-755-1304",
            "fax_number": "260-755-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 W LUDWIG RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181328",
            "telephone_number": "260-755-1304",
            "fax_number": "260-755-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEL",
        "first_name": "LAUREN",
        "middle_name": "JUNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11017942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.