Individual provider Active NPI

Angela T Stephens, NP

  • Family Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1609509074
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012819A Issued in IN
Practice address
4870 E Jackson St
Muncie, IN 47303-4432
Phone
(765) 287-8596
Fax
(765) 288-6514
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 71012819A IN Primary

Addresses

Primary practice location

4870 E Jackson St
Muncie, IN 47303-4432

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Other practice location 2

349 W 1st St
Albany, IN 47320-1705
Phone (765) 780-9850

Other identifiers 2

IdentifierTypeStateIssuer
1102699402OtherINANTHEM PTAN
300069201MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address astephens@direct.iuhealth.org Direct
Direct Messaging Address astephens@direct.iuhealth.org Direct
Direct Messaging Address astephens@direct.iuhealth.org 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221112000226 IN Practitioner - Nurse Practitioner 7012384555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health Ball Memorial Physicians IncGroup PAC ID 9537072640, 286 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

349 W 1St St
Albany, IN 47320-1705
Phone (765) 780-9850

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012819AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Apr 23, 2025 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Apr 23, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

349 W 1st St
Albany, IN 47320
Phone (765) 789-4541

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

4870 E Jackson St
Muncie, IN 47303
Phone (765) 254-9717

Interoperability endpoints

  • Direct secure messaging: astephens4@direct.iuhealth.org
  • Direct secure messaging: astephens@direct.iuhealth.org

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1609509074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-287-8596",
            "fax_number": "765-288-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2598 W White River Blvd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473035251",
            "country_code": "US",
            "telephone_number": "765-747-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "IN",
            "postal_code": "473201705",
            "country_code": "US",
            "telephone_number": "765-780-9850",
            "fax_number": "317-222-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANGELA",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012819A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102699402",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300069201",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "349 W 1st St",
            "city": "Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473201705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4870 E Jackson St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473034432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.