NPIMap

Individual provider Active NPI

Stephanie Rosa, MD

  • Family Medicine Physician
  • Mooresville, IN
National Provider Identifier
1649733270
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01086126A Issued in IN
Practice address
1205 Hadley Rd Ste 200
Mooresville, IN 46158-1934
Phone
(317) 834-9393
Fax
(317) 834-9399
NPI assigned
Apr 10, 2019
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01086126A IN Primary

Addresses

Primary practice location

1205 Hadley Rd Ste 200
Mooresville, IN 46158-1934

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srosa422766@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109001544 IN Practitioner - Family Practice 5698009199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1205 Hadley Rd
Suite 200
Mooresville, IN 46158-1934
Phone (317) 834-9393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01086126AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Health Indianapolis & Mooresville CurrentSince Aug 19, 2022 Accepting new patients
Franciscan Health Indianapolis & Mooresville Family Medicine Current Accepting new patients
Franciscan Health Indianapolis & Mooresville Family Medicine CurrentSince Aug 19, 2022 Accepting new patients
Franciscan Physician Network Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Aug 28, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1300 W Jefferson St
Ste C
Franklin, IN 46131
Phone (317) 736-8474

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5230 E Stop 11 Rd
Ste 250A
Indianapolis, IN 46237
Phone (317) 528-8921

5230 E Stop 11 Rd
Ste 250
Indianapolis, IN 46237
Phone (317) 528-8921

1205 Hadley Rd
Ste 200
Mooresville, IN 46158
Phone (317) 824-9393

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

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, 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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1649733270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HADLEY RD STE 200",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581934",
            "telephone_number": "317-834-9393",
            "fax_number": "317-834-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01086126A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srosa422766@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 250",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.