Rebecca Sue Stichter, NP
Individual provider Active NPI Nurse Practitioner · New Paris, IN
NPI 1306274105 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1306274105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71004558A (IN)
- Practice address
- 68370 Clinton St Ste a
New Paris, IN 46553-9235 - Phone
- (574) 831-5440
- Fax
- (574) 831-6922
- NPI assigned
- Oct 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Goshen Health System Inc
Practice addresses (Care Compare)
2824 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 535-1700
2832 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 537-0219
68370 Clinton St
New Paris, IN 46553-9235
Phone (574) 831-5440
Hospital & facility affiliations
- Goshen 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 |
|---|---|---|---|---|
| I20140109001899 | IN | Practitioner - Nurse Practitioner | 8527296920 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004558A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Health System Inc | Nurse Practitioner | Current |
Accepting new patients |
| Goshen Health System Inc | Current |
Accepting new patients | |
| Goshen Hospital Association Inc | Current | Accepting new patients |
Locations
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
Interoperability endpoints
- rebecca.stichter@goshenhealthdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71004558A | IN | Yes |
Addresses
Primary practice location
68370 Clinton St Ste a
New Paris, IN 46553-9235
Mailing address
PO Box 48
New Paris, IN 46553-0048
Phone (574) 831-5440
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.stichter@goshenhealthdirect.com | Health Information Exchange (HIE) |
Other providers in New Paris, IN
- Minter Nutrition Services, Inc.
- Karla Jean Minter
- New Paris Family Dentistry Inc
- Anna Christine Shively
- Chad E Smoker
All providers in New Paris, 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 Mar 18, 2024. 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.