Individual provider Active NPI

Lindsay Michelle Stevens, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1083277362
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28173345A Issued in IN
Practice address
4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone
(260) 425-2597
Fax
(260) 420-2415
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 28173345A IN Primary

Addresses

Primary practice location

4020 New Vision Dr
Fort Wayne, IN 46845-1737

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

330 N Wabash Ave Ste 360
Marion, IN 46952-2678
Phone (765) 664-3292

Other practice location 2

2246 N Pointe Dr
Warsaw, IN 46582-9042
Phone (574) 349-9242

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Lindsay.Stevens@forefrontdermatology.emadirect.md
Direct Messaging Address Lindsay.Stevens@forefrontdermatology.emadirect.md
Direct Messaging Address Lindsay.Stevens@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190816001155 IN Practitioner - Nurse Practitioner 0345577102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone (260) 423-2567

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28173345AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Aug 26, 2019 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Aug 26, 2019 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

7516 Eagle Crest Blvd
Ste D
Evansville, IN 47715
Phone (812) 401-8999

4020 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 423-2567

8325 S Emerson Ave
Ste C1
Indianapolis, IN 46237
Phone (317) 780-7400

330 N Wabash Ave
Ste 360
Marion, IN 46952
Phone (765) 664-3292

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

2246 N Pointe Dr
Warsaw, IN 46582
Phone (574) 349-9242

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: lindsay.stevens@forefrontdermatology.emadirect.md

Organizations & group practices 3

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1083277362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451737",
            "telephone_number": "260-425-2597",
            "fax_number": "260-420-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Wabash Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522678",
            "country_code": "US",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 N Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465829042",
            "country_code": "US",
            "telephone_number": "574-349-9242",
            "fax_number": "574-349-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LINDSAY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28173345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsay.Stevens@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2246 N Pointe Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465829042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsay.Stevens@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "330 N Wabash Ave Ste 360",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsay.Stevens@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.