Individual provider Active NPI

Stephanie J Silva, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1477501732
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001382A Issued in IN
Practice address
14020 Old State Rd Ste C100
Evansville, IN 47725-1171
Phone
(812) 469-4745
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 71001382A IN Primary

Addresses

Primary practice location

14020 Old State Rd Ste C100
Evansville, IN 47725-1171

Mailing address

14020 Old State Rd Ste C100
Evansville, IN 47725-1171

Other practice location 1

110 W Sycamore St
Elberfeld, IN 47613-9303
Phone (812) 983-4611

Other identifiers 1

IdentifierTypeStateIssuer
200491180MedicaidIN

Other names 1

  • Stephanie J Richter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.richter.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

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
I20040628001663 IN Practitioner - Nurse Practitioner 6103802251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

110 W Sycamore St
Elberfeld, IN 47613-0188
Phone (812) 983-4611

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001382AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St Mary'S Medical Group, LLC Nurse Practitioner CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Nurse Practitioner Current Accepting new patients
St. Mary'S Health, Inc Nurse Practitioner PastSince Aug 14, 2022 Accepting new patients

Locations

110 W Sycamore St
Elberfeld, IN 47613
Phone (812) 983-4611

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

1400 Professional Blvd
Ste 210
Evansville, IN 47714

3838 N 1st Ave
#D
Evansville, IN 47710
Phone (812) 425-0300

3838 N 1st Ave
Ste E
Evansville, IN 47710
Phone (812) 425-3362

6221 Physicians Ct
Evansville, IN 47715
Phone (812) 491-3236

14020 Old State Rd
Ste C100
Evansville, IN 47725
Phone (812) 469-4745

3838 N 1st Ave
Ste D
Evansville, IN 47710
Phone (812) 402-8808

14020 Old State Rd
Ste C501
Evansville, IN 47725
Phone (812) 469-4745

7240 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-6336

4166 Wyntree Dr
#A
Newburgh, IN 47630
Phone (812) 858-5050

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 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1477501732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251171",
            "telephone_number": "812-469-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Elberfeld",
            "state": "IN",
            "postal_code": "476139303",
            "country_code": "US",
            "telephone_number": "812-983-4611",
            "fax_number": "812-983-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001382A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491180",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.richter.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "14020 Old State Rd Ste C100",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477251171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RICHTER",
            "middle_name": "J",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.