Individual provider Active NPI

Stephanie Pickerill, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1497368740
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010310A Issued in IN
Practice address
1002 Spring St
Jeffersonville, IN 47130-3641
Phone
(812) 282-2256
NPI assigned
Aug 26, 2020
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 71010310A IN Primary

Addresses

Primary practice location

1002 Spring St
Jeffersonville, IN 47130-3641

Mailing address

1002 Spring St
Jeffersonville, IN 47130-3641
Phone (812) 282-2256

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
I20210105002432 IN Practitioner - Nurse Practitioner 6800209198 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
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

2320 Cunningham Rd
Indianapolis, IN 46224-3702
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
79.78
Improvement activities
40
Cost
80.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71010310AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Apr 1, 2020 Accepting new patients

Locations

4480 N 1st Ave
Evansville, IN 47710
Phone (812) 425-1525

2320 Cunningham Rd
Indianapolis, IN 46224
Phone (317) 241-6374

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1002 Spring St
Jeffersonville, IN 47130
Phone (812) 282-2256

7722 W State Route 66
Newburgh, IN 47630
Phone (812) 853-6166

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1497368740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303641",
            "telephone_number": "812-282-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303641",
            "telephone_number": "812-282-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERILL",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010310A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.