Active NPI
Lyn Marie Stevens, NP
- Adult Health Nurse Practitioner
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71001040A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300035897 | Medicaid | IN |
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
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71001040A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Emergency Physicians Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1932155371
-
- Gastroenterology Physician
- Elkhart, IN
- NPI 1699794057
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bremen, IN
- NPI 1568417004
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.