Active NPI
Stephanie Nicole Overman, NP
- Nurse Practitioner
- Wabash, IN
National Provider Identifier
1083999627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003726A
- Practice address
- 1025 Manchester Ave
Wabash, IN 46992-1425 - Phone
- (260) 563-7421
- Fax
- (260) 563-7725
- NPI assigned
- Oct 14, 2011
- Last updated
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003726A | IN | Primary |
Addresses
Primary practice location
1025 Manchester Ave
Wabash, IN 46992-1425
Mailing address
3702 New Vision Dr
BLDG B
Fort Wayne, IN 46845-1703
Phone (260) 563-7421
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003726A | IN | MD | Nurse Practitioner |
Organizations & group practices 1
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.
-
dba Parkview Wabash Multi-Specialty Physicians' Group
- Family Medicine Physician
- Wabash, IN
- NPI 1891176590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1083999627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 NEW VISION DR",
"address_2": "BLDG B",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451703",
"telephone_number": "260-563-7421",
"fax_number": "260-563-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MANCHESTER AVE",
"city": "WABASH",
"state": "IN",
"postal_code": "469921425",
"telephone_number": "260-563-7421",
"fax_number": "260-563-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMAN",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003726A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wabash, IN
- Jose Rafael Nunez Alvarado, MD
- Nustart Health LLC
- Nustart, LLC
- Orthopaedics Northeast, PC
- Ralph Zachary Overman
- Mitch Padfield, PTA, MBA
- Paolo C Giacomini, M.D. PC (Ash Street Clinic)
- Parkview Wabash Hospital, Inc. (Cass Street RHC)
- Parkview Wabash Hospital, Inc. (Parkview Wabash Hospital)
- Parkview Wabash Hospital, Inc. (WCH Swing Bed)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.