Individual provider Active NPI

Stephanie Lynn Gant, FNP-C

  • Family Nurse Practitioner
  • Greensburg, IN
National Provider Identifier
1336819937
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28188564A Issued in IN
Practice address
955 N Michigan Ave Ste 81
Greensburg, IN 47240-1487
Phone
(812) 222-0202
Fax
(812) 222-0104
NPI assigned
Sep 15, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 28188564A IN Primary

Addresses

Primary practice location

955 N Michigan Ave Ste 81
Greensburg, IN 47240-1487

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

395 Northside Dr
Batesville, IN 47006-7012
Phone (812) 932-2387

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Stephanie.Gant@forefrontdermatology.emadirect.md
Direct Messaging Address Stephanie.Gant@forefrontdermatology.emadirect.md

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
I20210920000907 IN Practitioner - Nurse Practitioner 1355748328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

955 N Michigan Ave
Suite 81
Greensburg, IN 47240-1487
Phone (812) 222-0202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Sep 16, 2021 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 16, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

395 Northside Dr
Batesville, IN 47006
Phone (812) 932-2387

955 N Michigan Ave
Ste 81
Greensburg, IN 47240
Phone (812) 222-0202

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: stephanie.gant@forefrontdermatology.emadirect.md

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, 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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1336819937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE STE 81",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-222-0202",
            "fax_number": "812-222-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470067012",
            "country_code": "US",
            "telephone_number": "812-932-2387",
            "fax_number": "812-222-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANT",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28188564A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie.Gant@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "955 N Michigan Ave Ste 81",
            "city": "Greensburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472401487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie.Gant@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "395 Northside Dr",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470067012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.