Active NPI
Stacey Elizabeth Hughes, FNP-C
- Family Nurse Practitioner
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71015013A
- Practice address
- 500 S Liberty Dr
Bloomington, IN 47403-1924 - Phone
- (517) 505-2881
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN217846 | GA | |
| Family Nurse Practitioner | 363LF0000X | 71015013A | IN | Primary |
Addresses
Primary practice location
500 S Liberty Dr
Bloomington, IN 47403-1924
Mailing address
3211 N Obrien PL
Bloomington, IN 47404-1729
Phone (517) 505-2881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300088709 | Medicaid | IN | |
| 1100224967 | Other | IN | ANTHEM PTAN |
Other names 1
- Stacey E Gershman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shughes@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Mercer University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 S Liberty Dr
Bloomington, IN 47403-1924
Phone (812) 918-5907
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC. | Current | Accepting new patients |
Locations
500 S Liberty Dr
Bloomington, IN 47403
Phone (812) 349-1392
90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- shughes24@direct.iuhealth.org
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.
-
- Urgent Care Clinic/Center
- Greenwood, IN
- NPI 1750763819
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1972273654
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1487182697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 N OBRIEN PL",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474041729",
"telephone_number": "517-505-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S LIBERTY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474031924",
"telephone_number": "517-505-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "STACEY",
"middle_name": "ELIZABETH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN217846",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015013A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300088709",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1100224967",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shughes@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 S Liberty Dr",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474031924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STACEY",
"last_name": "GERSHMAN",
"middle_name": "E",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.