Individual provider Active NPI

Stephanie Anne Nitzken Weede, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1336434554
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TP511 Issued in KY
Practice address
530 South Jackson Street
Louisville, KY 40201
Phone
(502) 852-5851
NPI assigned
Jun 15, 2011
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X TP511 KY Primary

Addresses

Primary practice location

530 South Jackson Street
Louisville, KY 40201

Mailing address

P.O. Box 909
Louisville, KY 40201
Phone (502) 588-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150721002533 KY Practitioner - Anesthesiology 0941513832 Reassigns benefits to 1 organization
I20230202002630 IN Practitioner - Anesthesiology 0941513832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

200 Missouri Ave
BLDG 18
Jeffersonville, IN 47130-3014
Phone (812) 920-0055

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Anesthesiology CurrentSince Jan 31, 2023 Accepting new patients
Apollo Medical Group of Jeffersonville LLC Anesthesiology CurrentSince Sep 19, 2025 Accepting new patients
Sda Consultants PLLC Anesthesiology CurrentSince Aug 6, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

400 Corporate Dr
Ste 100
Jeffersonville, IN 47130
Phone (502) 693-5292

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

2990 Gottbrath Pkwy
Jeffersonvlle, IN 47130
Phone (812) 670-0990

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1336434554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40201",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOUTH JACKSON STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40201",
            "telephone_number": "502-852-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDE",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE NITZKEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "TP511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.