Stephanie Lynn Gant, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Greensburg, IN

NPI 1336819937 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1336819937
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
28188564A (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
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

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 SC (650 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Decatur County Memorial Hospital Hospital · Greensburg, IN · CCN 151332
  • Margaret Mary Community Hospital Inc Hospital · Batesville, IN · CCN 151329

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100 (group)
Promoting interoperability
97
Improvement activities
40

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 IDStateProvider typePAC IDDetails
I20210920000907 IN Practitioner - Nurse Practitioner 1355748328 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28188564AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Current
since Sep 16, 2021
Accepting new patients
Forefront Dermatology, S.C. Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28188564A IN Yes

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

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

Other providers in Greensburg, IN

All providers in Greensburg, IN · Family Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.