Stacy Tabor, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

28214801A Issued in IN

Practice address

1667 Sheridan Rd
Noblesville, IN 46062-8723

Phone

(317) 770-3400

NPI assigned

Feb 8, 2024

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Select Home Health Services, Inc Home health agency, Carmel, IN, CCN 157635
• Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifespan Advanced Care LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1558238345
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Mississippi-TCS, Inc.

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1023866597

  IN

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health Indianapolis Orthopedic Hospital

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1376214981
  Care Compare affiliation
• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health - Indianapolis

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1386749893
  Care Compare affiliation
• Select Home Health Services, LLC

  • Home Health Agency
  • Carmel, IN
  • NPI 1689979965
  Care Compare affiliation

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1093579203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E145",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "317-781-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 SHERIDAN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628723",
            "telephone_number": "317-770-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N Bell Trace Cir",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474084408",
            "country_code": "US",
            "telephone_number": "812-323-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270962",
            "country_code": "US",
            "telephone_number": "317-885-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Water St",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648551",
            "country_code": "US",
            "telephone_number": "765-778-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Jh Walker Dr",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648730",
            "country_code": "US",
            "telephone_number": "765-788-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "868 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "IN",
            "postal_code": "461619633",
            "country_code": "US",
            "telephone_number": "765-763-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 Fry Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421820",
            "country_code": "US",
            "telephone_number": "317-881-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Country club Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504618",
            "country_code": "US",
            "telephone_number": "812-948-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Reeves Rd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461685501",
            "country_code": "US",
            "telephone_number": "317-838-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460165937",
            "country_code": "US",
            "telephone_number": "765-649-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125431",
            "country_code": "US",
            "telephone_number": "812-985-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S Sugar St",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "IN",
            "postal_code": "472202066",
            "country_code": "US",
            "telephone_number": "812-358-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 W 146th St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749870",
            "country_code": "US",
            "telephone_number": "317-844-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323323",
            "country_code": "US",
            "telephone_number": "317-844-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11851 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460378273",
            "country_code": "US",
            "telephone_number": "317-813-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W Longest St",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474549670",
            "country_code": "US",
            "telephone_number": "812-723-2595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Willow St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474487013",
            "country_code": "US",
            "telephone_number": "812-988-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463761",
            "country_code": "US",
            "telephone_number": "812-634-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 Hodgin Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473747443",
            "country_code": "US",
            "telephone_number": "765-939-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 E Hanna Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462371230",
            "country_code": "US",
            "telephone_number": "317-788-4261",
            "fax_number": "317-788-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1667 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628723",
            "country_code": "US",
            "telephone_number": "317-770-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3154 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439609",
            "country_code": "US",
            "telephone_number": "317-535-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "STACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "28214801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Suzo, PHARM.D.
• Kristen Swanson
• Matthew A Swift, M.D.
• Kristin M Swinehart, PT
• Asra Syed
• Lindsey Marie Taff, LCSW
• Joseph Takayoshi, LMHCA
• Talking Time Learning Center, Inc.
• Rodney G. Tank, PT
• Lindsay G Tanner, M.D.

• Gerontology Nurse Practitioner in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.