Stephanie Jean Alexander
Individual provider Active NPI Nurse Practitioner · Newburgh, IN
NPI 1225754781 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1225754781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71013156A (IN)
- Practice address
- 4219 Gateway Blvd
Newburgh, IN 47630-7925 - Phone
- (812) 426-9545
- Fax
- (812) 858-4512
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Specialty Physicians, Inc
Deaconess Clinic Inc
Practice addresses (Care Compare)
4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 858-3051
4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone (812) 426-9545
Hospital & facility affiliations
- Deaconess Hospital Inc
- Deaconess Henderson Hospital
- Gibson General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230313001729 | IN | Practitioner - Nurse Practitioner | 1052785185 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28184827A | IN | MD | Nurse Practitioner |
| 71013156A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Clinic Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Specialty Physicians Inc | Nurse Practitioner | Current |
Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720
4219 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9545
4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Interoperability endpoints
- salexander19650@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28184827A | IN | |
| Nurse Practitioner | 363L00000X | 71013156A | IN | Yes |
Addresses
Primary practice location
4219 Gateway Blvd
Newburgh, IN 47630-7925
Mailing address
PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815
Other providers in Newburgh, IN
- Hazem Albandar
- Hasan Ahmad Hasan Albitar
- Alc Operating LLC
- Fahana Stacie Alerte
- Laura Beth Alexander
- Mohammed A Allaw
- Carla Alldredge
- Cayla Ann Allen
- Madeline Elizabeth Allen
- Allyson Alloway
All providers in Newburgh, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.