Individual provider Active NPI

Stephanie M Crowell, NP

  • Advanced Practice Midwife
  • Carmel, IN
National Provider Identifier
1346682895
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000288A Issued in IN
Practice address
13420 N Meridian St Ste 420
Carmel, IN 46032-1581
Phone
(317) 582-8500
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004582A IN
Advanced Practice Midwife 367A00000X 09000288A IN Primary

Addresses

Primary practice location

13420 N Meridian St Ste 420
Carmel, IN 46032-1581

Mailing address

13420 N Meridian St Ste 420
Carmel, IN 46032-1581

Other practice location 1

3908 Meadows Dr
Indianapolis, IN 46205-3114
Phone (317) 957-2150

Other identifiers 1

IdentifierTypeStateIssuer
201192100MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.crowell.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20131226001577 IN Practitioner - Nurse Practitioner 2365679131 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09000288AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc Family CurrentSince Sep 22, 2013 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

13914 Southeastern Pkwy
Ste 110
Fishers, IN 46037
Phone (317) 415-9010

13914 Southeastern Pkwy
Ste 203A
Fishers, IN 46037
Phone (317) 415-9556

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

Interoperability endpoints

  • Direct secure messaging: stephanie.crowell.1@7598.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1346682895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 N MERIDIAN ST STE 420",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 N MERIDIAN ST STE 420",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321581",
            "telephone_number": "317-582-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3908 Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462053114",
            "country_code": "US",
            "telephone_number": "317-957-2150",
            "fax_number": "317-957-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004582A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000288A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201192100",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.crowell.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13420 N Meridian St Ste 420",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.