Active NPI
Janis Farquhar Stevenson, ACNP
- Acute Care Nurse Practitioner
- Bloomington, IN
National Provider Identifier
1649265869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71001894A
- Practice address
- 2920 McIntyre Dr
Suite 150
Bloomington, IN 47403-4221 - Phone
- (812) 333-7246
- Fax
- (812) 333-4471
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71001894A | IN | Primary |
Addresses
Primary practice location
2920 McIntyre Dr
Suite 150
Bloomington, IN 47403-4221
Mailing address
PO Box 5635
Attn: Maria Mitchell
Bloomington, IN 47407-5635
Phone (812) 337-5003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000368846 | Other | IN | PMC ANTHEM |
| 0000000368824 | Other | IN | CSC ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001894A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Spine Care | Past | Accepting new patients | |
| Pain Management Center of Southern Indiana, Inc. | Past | Accepting new patients | |
| Pain Management Center of Southern Indiana | Past | Accepting new patients |
Interoperability endpoints
- jstevenson@yourcarecommunity.org
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1639164700
-
- Pain Medicine Physician
- New Albany, IN
- NPI 1720222862
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1629063797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649265869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5635",
"address_2": "ATTN: MARIA MITCHELL",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474075635",
"telephone_number": "812-337-5003",
"fax_number": "812-337-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 MCINTYRE DR",
"address_2": "SUITE 150",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034221",
"telephone_number": "812-333-7246",
"fax_number": "812-333-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JANIS",
"middle_name": "FARQUHAR",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71001894A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC ANTHEM",
"identifier": "000000368846",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSC ANTHEM",
"identifier": "0000000368824",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.