Stephanie Michelle Debolt, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Kendallville, IN
NPI 1295856615 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1295856615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28159762A (IN)
- Practice address
- 7283 N 450 E
Kendallville, IN 46755-9345 - Phone
- (260) 445-0424
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28159762A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28159762A | IN | Yes |
Addresses
Primary practice location
7283 N 450 E
Kendallville, IN 46755-9345
Mailing address
7283 N 450 E
Kendallville, IN 46755-9345
Phone (260) 445-0424
Other names
- Stephanie Debolt
Other providers in Kendallville, IN
- Joseph F Csincsak
- Dianne Elizabeth Daugherty
- David R. Sofair, PC
- Amanda Day
- Theodore L Deal Jr.
- Jason D Dedoes
- Dekalb County Eastern Community School District
- Deanna Murphy Demaree
- Julie Lynn Desper
- Patricia Dingman
All providers in Kendallville, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.