Individual provider Active NPI

Erin Lynn Stuckwish, FNP

  • Family Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1447865498
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010623A Issued in IN
Practice address
225 S Pine St, JMB, 2ND FLR
Seymour, IN 47274-2365
Phone
(812) 524-4265
Fax
(812) 524-4269
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010623A IN Primary

Addresses

Primary practice location

225 S Pine St, JMB, 2ND FLR
Seymour, IN 47274-2365

Mailing address

225 S Pine St, 2ND Floor
Seymour, IN 47274-2365
Phone (812) 524-4265

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
I20201228001838 IN Practitioner - Nurse Practitioner 2567875180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010623AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Family CurrentSince Dec 23, 2020 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

225 S Pine St
Seymour, IN 47274
Phone (812) 524-3330

411 W Tipton St
#4
Seymour, IN 47274

411 W Tipton St
Bldg 4TH
Seymour, IN 47274

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

225 S Pine St
Fl 2
Seymour, IN 47274
Phone (812) 523-7466

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Organizations & group practices 2

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 1

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1447865498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PINE ST, 2ND FLOOR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-524-4265",
            "fax_number": "812-524-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST, JMB, 2ND FLR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-524-4265",
            "fax_number": "812-524-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKWISH",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010623A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.