Individual provider Active NPI

Jill Stanton, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1710060058
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043976 Issued in IN
Practice address
7151 Marsh Rd Ste 150
Indianapolis, IN 46278-1631
Phone
(317) 293-4113
Fax
(317) 290-2542
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 01043976 IN Primary

Addresses

Primary practice location

7151 Marsh Rd Ste 150
Indianapolis, IN 46278-1631

Mailing address

7151 Marsh Rd Ste 150
Indianapolis, IN 46278-1631
Phone (317) 293-4113

Other identifiers 1

IdentifierTypeStateIssuer
100238900MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.stantonmd.p4@direct.ahni.nextgenshare.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000670 IN Practitioner - Family Practice 0648305755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7151 Marsh Rd
Suite 150
Indianapolis, IN 46278-1631
Phone (317) 216-2021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions49
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043976INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
American Health Network of Indiana LLC CurrentSince Aug 1, 2000 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

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

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

7151 Marsh Rd
Ste 150
Indianapolis, IN 46278
Phone (317) 216-2021

4880 Century Plaza Rd
Ste 200
Indianapolis, IN 46254
Phone (317) 293-4113

4850 Century Plaza Rd
Ste 180
Indianapolis, IN 46254

Interoperability endpoints

  • Direct secure messaging: jill.stantonmd.p4@direct.ahni.nextgenshare.com
  • Direct secure messaging: jstanton211017@direct.optum.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 and National Provider Directory roles.

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1710060058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 MARSH RD STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781631",
            "telephone_number": "317-293-4113",
            "fax_number": "317-290-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 MARSH RD STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781631",
            "telephone_number": "317-293-4113",
            "fax_number": "317-290-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "JILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238900",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.stantonmd.p4@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "7151 Marsh Rd Ste 150",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.