Stacy Agee, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Indianapolis, IN
NPI 1356759591 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1356759591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71005055A (IN)
- Practice address
- 8424 Naab Rd BLDG 1
Indianapolis, IN 46260-5918 - Phone
- (317) 338-8680
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
8424 Naab Rd
Indianapolis, IN 46260-1954
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Ascension St Vincent Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140911000556 | IN | Practitioner - Nurse Practitioner | 6709005408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005055A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Family | Current |
Accepting new patients |
| St. Vincent Medical Group, Inc. | Current |
Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
8424 Naab Rd
Bldg 1
Indianapolis, IN 46260
Phone (317) 338-7431
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8424 Naab Rd
Ste 1H
Indianapolis, IN 46260
Phone (317) 338-7780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005055A | IN | Yes |
Addresses
Primary practice location
8424 Naab Rd BLDG 1
Indianapolis, IN 46260-5918
Mailing address
8424 Naab Rd Ste 1H
Indianapolis, IN 46260-1954
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stacy.agee.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Other providers in Indianapolis, IN
- Rachael K Agbonhese
- Ethel Flordelain Agbulos
- Katelyn Elizabeth Agdanowski
- Age Well Home Care Services LLC
- Jonathan Todd Agee
- Ageless Center LLC
- Ageless Love Home Care LLC
- Ageless Minds LLC
- Ageless Reflections Personal Care Services LLC
- Agency for Precision Living and Learning LLC
All providers in Indianapolis, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.