Individual provider Active NPI

Stephanie Frye, NP

  • Family Nurse Practitioner
  • Mitchell, IN
National Provider Identifier
1164979456
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28164765A Issued in IN
Practice address
815 W Main St
Mitchell, IN 47446-1307
Phone
(812) 992-1001
Fax
(812) 992-1002
NPI assigned
Sep 5, 2016
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006689A IN
Family Nurse Practitioner 363LF0000X 28164765A IN Primary

Addresses

Primary practice location

815 W Main St
Mitchell, IN 47446-1307

Mailing address

815 W Main St
Mitchell, IN 47446-1307
Phone (812) 992-1001

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
I20170105001195 IN Practitioner - Nurse Practitioner 5597046557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2920 S McIntire Dr
Suite 350
Bloomington, IN 47403-4215
Phone (888) 484-3258

815 W Main St
Mitchell, IN 47446-1307
Phone (812) 992-1001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164765AINMDFamily Nurse Practitioner
71006689AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Feb 6, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Feb 6, 2023 Accepting new patients
Bloom Health & Wellness LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

2920 S McIntire Dr
Ste 350
Bloomington, IN 47403
Phone (812) 332-2226

3050 N Lintel Dr
Bloomington, IN 47404
Phone (812) 336-2815

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

815 W Main St
Mitchell, IN 47446
Phone (812) 583-4273

Interoperability endpoints

  • Direct secure messaging: sfrye3@direct.iuhealth.org
  • Direct secure messaging: stephaniefrye@sichc.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1164979456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461307",
            "telephone_number": "812-992-1001",
            "fax_number": "812-992-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461307",
            "telephone_number": "812-992-1001",
            "fax_number": "812-992-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006689A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164765A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, IN

Sources for this page

Verify at the official NPI Registry.