Individual provider Active NPI

Lyn Marie Stevens, NP

  • Adult Health Nurse Practitioner
  • Elkhart, IN
National Provider Identifier
1558357749
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001040A Issued in IN
Practice address
1506 Osolo Road
Ste a
Elkhart, IN 46514-4122
Phone
(574) 295-1131
Fax
(574) 524-8211
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71001040A IN Primary

Addresses

Primary practice location

1506 Osolo Road
Ste a
Elkhart, IN 46514-4122

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other practice location 1

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 880-3900

Other practice location 2

1506 Osolo Rd Ste A
Elkhart, IN 46514-4122
Phone (574) 295-1131

Other practice location 3

1302 College Ave Ste 2
Goshen, IN 46526-4939
Phone (574) 206-0380

Other identifiers 1

IdentifierTypeStateIssuer
300035897MedicaidIN

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
I20050826000270 IN Practitioner - Nurse Practitioner 3678504990 Reassigns benefits to 2 organizations

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
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

105 N Nappanee St
BMG Urology Elkhart
Elkhart, IN 46514-1957
Phone (574) 206-0305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001040AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Emergency Physicians Inc CurrentSince Mar 16, 2022 Accepting new patients
Beacon Medical Group, Inc. CurrentSince May 5, 2025 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

1506 Osolo Rd
#A
Elkhart, IN 46514
Phone (574) 295-1131

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

105 N Nappanee St
Elkhart, IN 46514
Phone (574) 206-0305

1302 College Ave
Ste 2
Goshen, IN 46526
Phone (574) 206-0380

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: lstevens1783128@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1558357749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 OSOLO ROAD",
            "address_2": "STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144122",
            "telephone_number": "574-295-1131",
            "fax_number": "574-524-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Ronald Reagan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237085",
            "country_code": "US",
            "telephone_number": "317-880-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 Osolo Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465144122",
            "country_code": "US",
            "telephone_number": "574-295-1131",
            "fax_number": "574-293-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 College Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465264939",
            "country_code": "US",
            "telephone_number": "574-206-0380",
            "fax_number": "574-206-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LYN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001040A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035897",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.