Active NPI
Stephanie Elliott
- Family Nurse Practitioner
- Greencastle, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007175A
- Practice address
- 1542 S Bloomington St
Greencastle, IN 46135-2212 - Phone
- (765) 301-7400
- NPI assigned
- Jan 24, 2017
- Last updated
- Feb 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71007175A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71007175A | IN | Primary |
Addresses
Primary practice location
1542 S Bloomington St
Greencastle, IN 46135-2212
Mailing address
1145 Indianapolis Rd
Greencastle, IN 46135-2408
Phone (657) 653-8453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300005209 | Medicaid | IN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1542 S Bloomington St
Putnam Prompt Care
Greencastle, IN 46135-2212
Phone (765) 655-2686
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Past | Accepting new patients |
Locations
1111 S Calbert Way
Greencastle, IN 46135
Phone (317) 781-1133
1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556
1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700
Interoperability endpoints
- selliott38093@direct.franciscanalliance.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Greencastle, IN
- NPI 1578608188
-
dba Putnam Prompt Care
- Rural Health Clinic/Center
- Greencastle, IN
- NPI 1295972412
-
dba Putnam Pediatrics and Internal Medicine
- Rural Health Clinic/Center
- Greencastle, IN
- NPI 1699833129
-
- Critical Access Hospital
- Greencastle, IN
- NPI 1912947490
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greencastle, IN
- NPI 1912947490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1144767526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 INDIANAPOLIS RD",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352408",
"telephone_number": "657-653-8453",
"fax_number": "657-653-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 S BLOOMINGTON ST",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352212",
"telephone_number": "765-301-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71007175A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007175A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300005209",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.