Individual provider Active NPI

Staci Rene Winning, NP-C

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1699439968
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09211386 Issued in IN
Practice address
4567 Caroline Grace LN
Terre Haute, IN 47802-8274
Phone
(812) 230-4441
NPI assigned
Oct 23, 2021
Last updated
Oct 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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 F09211386 IN Primary

Addresses

Primary practice location

4567 Caroline Grace LN
Terre Haute, IN 47802-8274

Mailing address

4567 Caroline Grace LN
Terre Haute, IN 47802-8274
Phone (812) 230-4441

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL home

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
I20221129001610 IN Practitioner - Nurse Practitioner 0648648428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lynch Surgical Group PCGroup PAC ID 1153864863, 9 clinicians

Practice addresses (Care Compare)

1818 N 6TH St
Terre Haute, IN 47804-4021
Phone (812) 232-1123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09211386INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch Surgical Group PC CurrentSince Jun 1, 2024 Accepting new patients
Mark O. Lynch Past Accepting new patients

Locations

1818 N 6th St
Terre Haute, IN 47804
Phone (812) 232-1123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1699439968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CAROLINE GRACE LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028274",
            "telephone_number": "812-230-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 CAROLINE GRACE LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028274",
            "telephone_number": "812-230-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNING",
        "first_name": "STACI",
        "middle_name": "RENE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F09211386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "home",
            "affiliation": "N",
            "address_1": "4567 Caroline Grace Ln",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478028274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.