Active NPI
Jana Stedman, PA-C
- Physician Assistant
- Indianapolis, IN
National Provider Identifier
1205210861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002344A
- Practice address
- 8063 Madison Ave # 527
Indianapolis, IN 46227-6001 - Phone
- (219) 200-2022
- NPI assigned
- Jul 14, 2015
- Last updated
- Jul 4, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002344A | IN | Primary |
| Physician Assistant | 363A00000X | 085005550 | IL |
Addresses
Primary practice location
8063 Madison Ave # 527
Indianapolis, IN 46227-6001
Mailing address
PO Box 3231
Munster, IN 46321-0231
Phone (219) 200-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Valparaiso, IN 46383
Phone (219) 200-2022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085005550 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Medical PC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Munster, IN
- NPI 1548103955
-
- Clinic/Center
- Valparaiso, IN
- NPI 1427895705
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1205210861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3231",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463210231",
"telephone_number": "219-200-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8063 MADISON AVE # 527",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462276001",
"telephone_number": "219-200-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEDMAN",
"first_name": "JANA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002344A",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.