Individual provider Active NPI

Stephanie M Vanderhorst, CNM MSN

  • Advanced Practice Midwife
  • Auburn, IN
National Provider Identifier
1598859506
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000099A Issued in IN
Practice address
510 Smaltz Way
Auburn, IN 46706-0612
Phone
(260) 927-0035
Fax
(260) 927-0036
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000099A IN Primary

Addresses

Primary practice location

510 Smaltz Way
Auburn, IN 46706-0612

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 927-0035

Other identifiers 1

IdentifierTypeStateIssuer
200421450MedicaidIN

Other names 1

  • Mrs. Stephanie Michelle Vanderhorst Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.vanderhorst@lutheranhealthnetwork.cernerdirect.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003441 IN Practitioner - Certified Nurse Midwife (CNM) 9234580150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

510 Smaltz Way
Auburn, IN 46706-0612
Phone (260) 927-1756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
09000099AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Birthing Center LLC Advanced Practice Midwife CurrentSince Jan 1, 2021 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

1310 E 7th St
Ste M
Auburn, IN 46706
Phone (260) 927-0035

510 Smaltz Way
Auburn, IN 46706
Phone (260) 927-0035

1915 Wesley Rd
Auburn, IN 46706
Phone (260) 333-0811

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1598859506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-927-0035",
            "fax_number": "260-927-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SMALTZ WAY",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467060612",
            "telephone_number": "260-927-0035",
            "fax_number": "260-927-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHORST",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNM MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000099A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421450",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.vanderhorst@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "510 Smaltz Way",
            "city": "Auburn",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467060612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "VANDERHORST",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "CNM MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.