Individual provider Active NPI

Stephanie Bryant-Lipp, NPC

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1356330435
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
710201147A Issued in IN
Practice address
907 N East St
Indianapolis, IN 46202-3425
Phone
(317) 429-0120
NPI assigned
Oct 20, 2005
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 710201147A IN Primary

Addresses

Primary practice location

907 N East St
Indianapolis, IN 46202-3425

Mailing address

5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone (317) 782-1577

Other practice location 1

5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone (317) 782-1577

Other practice location 2

12881 S County Road 875 W
Daleville, IN 47334-9709
Phone (317) 753-5902

Other identifiers 1

IdentifierTypeStateIssuer
200241740AMedicaidIN

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
I20041007000133 IN Practitioner - Nurse Practitioner 5890754659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinqcare at Home PCGroup PAC ID 1456769330, 31 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46240
Phone (317) 429-0170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
710201147AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Healthcare Services Inc CurrentSince Feb 9, 2020 Accepting new patients
Cinqcare at Home PC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Care Medical Practice PLLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Advanced Healthcare Associates LLP Nurse Practitioner Past Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

6201 La Pas Trl
Ste 265
Indianapolis, IN 46268
Phone (317) 297-0307

8900 Keystone Xing
Ste 540
Indianapolis, IN 46240
Phone (317) 429-0170

907 N East St
Indianapolis, IN 46202
Phone (317) 644-3461

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Interoperability endpoints

  • Direct secure messaging: stephanie.bryant-lipp.1@32399.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1356330435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SHELBYVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372601",
            "telephone_number": "317-782-1577",
            "fax_number": "317-780-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023425",
            "telephone_number": "317-429-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462372601",
            "country_code": "US",
            "telephone_number": "317-782-1577",
            "fax_number": "317-780-5539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12881 S County Road 875 W",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "IN",
            "postal_code": "473349709",
            "country_code": "US",
            "telephone_number": "317-753-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT-LIPP",
        "first_name": "STEPHANIE",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "710201147A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200241740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.