Stacey Kaye England

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003056A Issued in IN

Practice address

123 S Franklin Rd
Bloomington, IN 47404-5296

Phone

(812) 339-2305

Fax

(812) 339-2318

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890
  Medicare reassignment NPD

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1205160975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 WYNTREE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-1957",
            "fax_number": "812-858-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S FRANKLIN RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045296",
            "telephone_number": "812-339-2305",
            "fax_number": "812-339-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "STACEY",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003056A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Dental Bloomington LLC
• Emergency Medicine Professionals of Indiana LLC
• Eric Emlinger
• Empowered Counseling, LLC
• Brainna England
• Enhanced Health Chiropractic, LLC
• Koyana Enright, RBT
• ENT Associates of Southern Indiana, P.C.
• Stephen Enyiaku
• Ellen Epstein, LCSW

• Family Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.