Individual provider Active NPI

Misty Marie Stevens, FNP-C

  • Nurse Practitioner
  • Marion, IN
National Provider Identifier
1487382719
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012917A Issued in IN
Practice address
2620 S Western Ave
Marion, IN 46953-3556
Phone
(765) 573-2530
Fax
(765) 573-2535
NPI assigned
Aug 14, 2022
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 71012917A IN Primary

Addresses

Primary practice location

2620 S Western Ave
Marion, IN 46953-3556

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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
I20221025001976 IN Practitioner - Nurse Practitioner 5698141166 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012917AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Centers Inc. CurrentSince Nov 20, 2025 Accepting new patients
RP Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Alliance Health Centers, Inc. Nurse Practitioner CurrentSince Nov 20, 2025 Accepting new patients
Parkview Health System Inc Nurse Practitioner CurrentSince Sep 5, 2025 Accepting new patients
Marion Pediatrics LLC Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

2620 S Western Ave
Marion, IN 46953
Phone (765) 573-2530

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1487382719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469533556",
            "telephone_number": "765-573-2530",
            "fax_number": "765-573-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MISTY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012917A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.