Individual provider Active NPI

Teresa Elaine Stephens, FNP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1578835922
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003860A Issued in IN
Practice address
5120 Weston Rd
Evansville, IN 47712-3702
Phone
(812) 424-4811
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 71003860A IN Primary

Addresses

Primary practice location

5120 Weston Rd
Evansville, IN 47712-3702

Mailing address

109 Brenda Dr
Vincennes, IN 47591-6513
Phone (812) 887-1031

Other identifiers 2

IdentifierTypeStateIssuer
71003860AOtherINFNP LICENSE
28110649AOtherINRN LICENSE

Other names 1

  • Teresa Elaine Stephens Professional name

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
I20120216000128 IN Practitioner - Nurse Practitioner 1355509688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital Physician Services, IncGroup PAC ID 3971671330, 143 clinicians

Practice addresses (Care Compare)

1813 Willow St
Conv Care
Vincennes, IN 47591-4279
Phone (812) 885-8941

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Multi-Specialty Clinic, PC Family CurrentSince Jan 16, 2017 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Nov 30, 2018 Accepting new patients
Evansville Cancer Care, PC CurrentSince Jan 16, 2017 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Mar 12, 2019 Accepting new patients
Good Samaritan Hospital CurrentSince Mar 12, 2019 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

5120 Weston Rd
Evansville, IN 47712
Phone (812) 424-4811

6140 E Columbia St
Evansville, IN 47715
Phone (812) 474-1110

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

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

429 S 6th St
Vincennes, IN 47591
Phone (812) 882-3280

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

1813 Willow St
Vincennes, IN 47591
Phone (812) 882-0894

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: tstephens120908@direct.deaconess.com

Organizations & group practices 6

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 2

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578835922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRENDA DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916513",
            "telephone_number": "812-887-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 WESTON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123702",
            "telephone_number": "812-424-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TERESA",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003860A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "71003860A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "28110649A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "STEPHENS",
            "middle_name": "ELAINE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.