Individual provider Active NPI

Benjamin Stephens, APRN

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1447626981
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006968A Issued in IN
Practice address
5629 Lee Rd
Indianapolis, IN 46216-2003
Phone
(317) 419-6800
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 344722 NY
Family Nurse Practitioner 363LF0000X 71006968A IN Primary

Addresses

Primary practice location

5629 Lee Rd
Indianapolis, IN 46216-2003

Mailing address

5629 Lee Rd
Indianapolis, IN 46216-2003
Phone (317) 419-6800

Other practice location 1

5026 W US 52
New Palestine, IN 46163-9770
Phone (866) 389-2727

Other practice location 2

241 W 57th St
New York, NY 10019-2121
Phone (212) 247-5848

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL minuteclinic.com Health Information Exchange (HIE)
Direct Messaging Address benjamin.stephens.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
I20170413000265 IN Practitioner - Nurse Practitioner 4789991621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

5629 Lee Rd
Indianapolis, IN 46216-2003
Phone (317) 419-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006968AINMDFamily Nurse Practitioner
344722NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family CurrentSince Jul 29, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 29, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

5629 Lee Rd
Indianapolis, IN 46216
Phone (317) 415-6450

10801 N Michigan Rd
Zionsville, IN 46077
Phone (317) 344-1234

51 N Ford Rd
Zionsville, IN 46077
Phone (317) 973-3333

Interoperability endpoints

  • Direct secure messaging: benjamin.stephens.1@7598.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1447626981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-419-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-419-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 W US 52",
            "address_purpose": "LOCATION",
            "city": "New Palestine",
            "state": "IN",
            "postal_code": "461639770",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 W 57th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192121",
            "country_code": "US",
            "telephone_number": "212-247-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BENJAMIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344722",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "minuteclinic.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient information",
            "address_1": "241 W 57th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100192121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.stephens.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "5629 Lee Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462162003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.