Individual provider Active NPI

Stephanie M Andree, NP

  • Nurse Practitioner
  • Merrillville, IN
National Provider Identifier
1104269166
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004379A Issued in IN
Practice address
400 W 84TH Dr
Merrillville, IN 46410-6248
Phone
(219) 769-8641
NPI assigned
Apr 9, 2013
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 71004379A IN Primary

Addresses

Primary practice location

400 W 84TH Dr
Merrillville, IN 46410-6248

Mailing address

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Other practice location 1

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Other practice location 2

10176 W 400 N
Michigan City, IN 46360-9008
Phone (219) 809-9839

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
I20131009000194 IN Practitioner - Nurse Practitioner 6800020710 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians
Uro Surgery Associates LLCGroup PAC ID 8628975562, 17 clinicians
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

1300 Lincolnway
Valparaiso, IN 46383-5824

1461 Morthland Dr
Suite a
Valparaiso, IN 46385-6362
Phone (219) 769-8641

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 769-8641

400 W 84TH Dr
Merrillville, IN 46410-6248
Phone (219) 769-8641

650 Grant St
Gary, IN 46404-1533
Phone (219) 882-7730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004379AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Community Mental Health Center, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Advanced Rehabilitation Care, LLC CurrentSince Mar 22, 2021 Accepting new patients
Illinois Center for Pain Control LLC CurrentSince Jul 1, 2019 Accepting new patients
Uro Surgery Associates LLC CurrentSince Jul 30, 2024 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 17, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 17, 2025 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Apr 1, 2024 Accepting new patients
Uro Surgery Associates LLC CurrentSince Jul 30, 2024 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

650 Richard Gordon Hatcher Blvd
Gary, IN 46404
Phone (219) 427-0112

559 State St
Hammond, IN 46320
Phone (219) 757-1928

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

400 W 84th Dr
Merrillville, IN 46410
Phone (219) 736-1255

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

10176 W 400 N
Michigan City, IN 46360
Phone (219) 214-2047

10176 W 400 N
Ste B
Michigan City, IN 46360
Phone (219) 301-2633

1051 Southpoint Cir
Ste A
Valparaiso, IN 46385
Phone (219) 286-3830

1461 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 663-4007

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: stephanieandree@up.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1104269166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GATEWAY BLVD N",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049658",
            "telephone_number": "219-921-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 84TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106248",
            "telephone_number": "219-769-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Gateway Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463049658",
            "country_code": "US",
            "telephone_number": "219-921-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10176 W 400 N",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609008",
            "country_code": "US",
            "telephone_number": "219-809-9839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREE",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.