Individual provider Active NPI

Stephanie Ann Owen, APRN

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1184263105
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009643A Issued in IN
Practice address
9330 Broadway
Crown Point, IN 46307-9830
Phone
(219) 648-2400
NPI assigned
Dec 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 71009643A IN Primary
Acute Care Nurse Practitioner 363LA2100X 71009643A IN

Addresses

Primary practice location

9330 Broadway
Crown Point, IN 46307-9830

Mailing address

1113 Mossy LN
Mishawaka, IN 46544-9055
Phone (574) 208-9114

Other practice location 1

8601 Connecticut St
Merrillville, IN 46410-6647
Phone (219) 525-3495

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
I20200130000093 IN Practitioner - Nurse Practitioner 3476989070 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians
Aims LLCGroup PAC ID 6406126572, 8 clinicians

Practice addresses (Care Compare)

8601 Connecticut St
Merrillville, IN 46410-6647
Phone (219) 525-3495

9330 Broadway
Crown Point, IN 46307-9830
Phone (219) 648-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71009643AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Jan 19, 2020 Accepting new patients
Aims-Med, LLC CurrentSince Oct 1, 2020 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Oct 27, 2025 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Jan 15, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Aimsmedaz LLC Past Accepting new patients
The Methodist Hospitals, Inc PastSince Jan 15, 2022 Accepting new patients

Locations (25 of 28)

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

9660 E Washington St
#300
Indianapolis, IN 46229
Phone (317) 860-5600

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

3728 S Reed Rd
Kokomo, IN 46902
Phone (765) 626-7110

30 Professional Ct
Ste 2
Lafayette, IN 47905
Phone (765) 838-1218

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

111 E 3rd St
Unit 764
Mishawaka, IN 46546

425 Park Place Cir
Ste 150
Mishawaka, IN 46545
Phone (574) 243-7696

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1184263105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MOSSY LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449055",
            "telephone_number": "574-208-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079830",
            "telephone_number": "219-648-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 Connecticut St",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106647",
            "country_code": "US",
            "telephone_number": "219-525-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009643A",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71009643A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.