Individual provider Active NPI

Stephanie Lynn Corman, NP-C

  • Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1659824175
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006509A Issued in IN
Practice address
679 E County Line Rd
Greenwood, IN 46143-1049
Phone
(317) 859-7222
Fax
(317) 859-4269
NPI assigned
Aug 2, 2016
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006509A IN Primary

Addresses

Primary practice location

679 E County Line Rd
Greenwood, IN 46143-1049

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1266

Other identifiers 2

IdentifierTypeStateIssuer
677730OtherINMEDICARE GROUP PTAN
1487680518OtherINGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

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
I20160920000726 IN Practitioner - Nurse Practitioner 4587951538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 859-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006509AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana L.L.C. Nurse Practitioner CurrentSince Sep 8, 2016 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Sep 8, 2016 Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Major Hospital Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, LLC Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L. C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients

Locations

120 Avon Market Pl
Ste 200
Avon, IN 46123
Phone (317) 671-8032

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8240 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 872-0123

Interoperability endpoints

  • Direct secure messaging: urologyin@directaddress.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1659824175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1266",
            "fax_number": "317-859-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-859-7222",
            "fax_number": "317-859-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMAN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "677730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "679 E County Line Rd",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.