Individual provider Active NPI

Stacey Stevens Schmiedecke, M.D.

  • Maternal & Fetal Medicine Physician
  • San Diego, CA
National Provider Identifier
1124392741
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01072991A Issued in IN
Practice address
34800 Bob Wilson Dr
Dept OB/GYN, Division of MFM
San Diego, CA 92134-0001
Phone
(619) 532-7020
Fax
(619) 532-6378
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 01072991A IN Primary
Obstetrics & Gynecology Physician 207V00000X 01072991A IN

Addresses

Primary practice location

34800 Bob Wilson Dr
Dept OB/GYN, Division of MFM
San Diego, CA 92134-0001

Mailing address

34800 Bob Wilson Dr
Dept OB/GYN, Division of MFM
San Diego, CA 92134-0001
Phone (619) 532-7020

Other practice location 1

Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-5000
Phone (253) 968-2417

Other names 1

  • Stacey Aeirn Stevens Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121002127 IN Practitioner - Obstetrics/Gynecology 1153741152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Pediatric SubspecialtiesGroup PAC ID 1557313939, 37 clinicians

Practice addresses (Care Compare)

8111 Township Line Rd
Indianapolis, IN 46260-2479
Phone (317) 338-5288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072991AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Obstetrics & Gynecology CurrentSince Jan 31, 2022 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Feb 1, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jan 31, 2022 Accepting new patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

2705 N Lebanon St
Ste 405
Lebanon, IN 46052
Phone (765) 485-8444

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Interoperability endpoints

  • Direct secure messaging: stacey.schmiedecke.1@7598.direct.athenahealth.com
  • Direct secure messaging: stacey.schmiedecke.2@7598.direct.athenahealth.com

Organizations & group practices 5

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1124392741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "DEPT OB/GYN, DIVISION OF MFM",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "619-532-7020",
            "fax_number": "619-532-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "DEPT OB/GYN, DIVISION OF MFM",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "619-532-7020",
            "fax_number": "619-532-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Army Medical Center 9040 Jackson Avenue",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984315000",
            "country_code": "US",
            "telephone_number": "253-968-2417",
            "fax_number": "253-968-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIEDECKE",
        "first_name": "STACEY",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01072991A",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01072991A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "STEVENS",
            "middle_name": "AEIRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.