Individual provider Active NPI

Andrea L Stephens, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1588854632
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002451A Issued in IN
Practice address
806 Jackson St
Columbus, IN 47201-6264
Phone
(812) 748-3412
Fax
(812) 748-3413
NPI assigned
Jul 25, 2007
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002451A IN Primary
Registered Nurse 163W00000X 28140893A IN

Addresses

Primary practice location

806 Jackson St
Columbus, IN 47201-6264

Mailing address

1904 Washington Ave Apt B
Vincennes, IN 47591-4944
Phone (812) 910-0566

Other identifiers 2

IdentifierTypeStateIssuer
000000531692OtherINANTHEM PIN
200871380MedicaidIN

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
I20070904000592 IN Practitioner - Nurse Practitioner 8628161825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Willow St
Suite a
Vincennes, IN 47591-4264
Phone (812) 291-5993

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28140893AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 5, 2024 Accepting new patients
Riverside Family Clinic, Inc Family CurrentSince Nov 30, 2015 Accepting new patients

Locations

514 16th St
Bedford, IN 47421
Phone (812) 279-2001

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

1600 Willow St
Ste A
Vincennes, IN 47591
Phone (812) 291-5993

1904 Washington Ave
Vincennes, IN 47591
Phone (812) 291-5993

1904 Washington Ave
Apt B
Vincennes, IN 47591

328 N 2nd St
Ste 102
Vincennes, IN 47591
Phone (812) 291-5993

Interoperability endpoints

  • Direct secure messaging: andrea.stephens.1@31214.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1588854632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WASHINGTON AVE APT B",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914944",
            "telephone_number": "812-910-0566",
            "fax_number": "812-316-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JACKSON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016264",
            "telephone_number": "812-748-3412",
            "fax_number": "812-748-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002451A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28140893A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000531692",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.