Individual provider Active NPI

Stephanie Tafflinger, FNP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1619669900
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014030A Issued in IN
Practice address
1270 N Post Rd Ste B
Indianapolis, IN 46219-5608
Phone
(317) 621-3767
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28197635A IN
Nurse Practitioner 363L00000X 71014030A IN Primary

Addresses

Primary practice location

1270 N Post Rd Ste B
Indianapolis, IN 46219-5608

Mailing address

6626 E 75TH St Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

7250 Clearvista Dr Ste 380
Indianapolis, IN 46256-5608
Phone (317) 621-3767

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
I20230629002368 IN Practitioner - Nurse Practitioner 6901265511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28197635AINMDNurse Practitioner
71014030AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 24, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 24, 2023 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1270 N Post Rd
Ste B
Indianapolis, IN 46219
Phone (317) 355-5250

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7250 Clearvista Dr
Ste 380
Indianapolis, IN 46256
Phone (317) 621-3700

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: stafflinger10073@ecommunitydirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1619669900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N POST RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195608",
            "telephone_number": "317-621-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Clearvista Dr Ste 380",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462565608",
            "country_code": "US",
            "telephone_number": "317-621-3767",
            "fax_number": "317-621-3766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFFLINGER",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28197635A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014030A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.