Individual provider Active NPI

Steven James Clarkson, FNP

  • Family Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1659871903
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007799A Issued in IN
Practice address
300 S State Road 135 Ste 310
Greenwood, IN 46142-1422
Phone
(317) 497-2400
Fax
(317) 497-2515
NPI assigned
Feb 13, 2018
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 71007799A IN Primary

Addresses

Primary practice location

300 S State Road 135 Ste 310
Greenwood, IN 46142-1422

Mailing address

2124 S Susie St
Bloomington, IN 47403-3432
Phone (812) 219-5785

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sclarkson307314@eCommunityDirect.com Community Physicians of Indiana Inc

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
I20180302000973 IN Practitioner - Nurse Practitioner 1951662196 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Mar 26, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 26, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Indiana University Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

3000 S State Road 135
Ste 310
Greenwood, IN 46143
Phone (317) 497-2400

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

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

Interoperability endpoints

  • Direct secure messaging: sclarkson307314@ecommunitydirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659871903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 S SUSIE ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033432",
            "telephone_number": "812-219-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ROAD 135 STE 310",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421422",
            "telephone_number": "317-497-2400",
            "fax_number": "317-497-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007799A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclarkson307314@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "300 S State Road 135 Ste 310",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461421422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.