Stacy Lynn Taylor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008563A Issued in IN

Practice address

2211 E 10TH St # Street14
Hobart, IN 46342-5313

Phone

(219) 945-9383

Fax

(219) 945-9384

NPI assigned

Aug 29, 2018

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Connecticut General Life Insurance Company

  • Clinic/Center
  • Hammond, IN
  • NPI 1255757332
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1225510951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CLOVER LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E 10TH ST # STREET14",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425313",
            "telephone_number": "219-945-9383",
            "fax_number": "219-945-9384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Clover Ln",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463072967",
            "country_code": "US",
            "telephone_number": "219-669-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28150593A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008563A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerville 2, LLC
• Emma G Svoboda I
• Wael Takrouri
• Paul Rene Tamburro, PHD, MSW, LCSW
• Joel B. Tan, P.T.
• The Waters of Hobart Skilled Nursing Facility LLC
• The Woman'S Wellness Center, P.C.
• Anamarie Thomas
• Jenna Toennies, OTR/L
• Courtney Tomaszewski, LMHC, LCPC

• Family Nurse Practitioner in Hobart, IN
• Providers in Hobart, 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 Jan 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.