Individual provider Active NPI

Jennifer M Stewart, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1255745303
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004920A Issued in IN
Practice address
1545 N Meridian St
Indianapolis, IN 46202-2306
Phone
(317) 923-1491
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004920A IN Primary

Addresses

Primary practice location

1545 N Meridian St
Indianapolis, IN 46202-2306

Mailing address

5923 Victory Ave
Indianapolis, IN 46203-6921
Phone (317) 413-3433

Other practice location 1

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Other identifiers 1

IdentifierTypeStateIssuer
201323740MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jstewart@direct.iuhealth.org Direct
Direct Messaging Address jstewart@direct.iuhealth.org Direct

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
I20140722000322 IN Practitioner - Nurse Practitioner 5395961742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71004920AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Jul 14, 2015 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Mar 1, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Mar 1, 2024 Accepting new patients
Indiana Pain and Injury Centers LLC CurrentSince Jan 20, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

5135 S Emerson Ave
Ste C
Indianapolis, IN 46237
Phone (317) 991-5710

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

Interoperability endpoints

  • Direct secure messaging: jstewart24@direct.iuhealth.org

Organizations & group practices 5

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1255745303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 VICTORY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036921",
            "telephone_number": "317-413-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022306",
            "telephone_number": "317-923-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2598 W White River Blvd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473035251",
            "country_code": "US",
            "telephone_number": "765-747-3888",
            "fax_number": "765-288-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004920A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201323740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstewart@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstewart@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.