Individual provider Active NPI

Stacie Nicole Curtis, NP

  • Family Nurse Practitioner
  • Lebanon, IN
National Provider Identifier
1760809552
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004890A Issued in IN
Practice address
400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone
(765) 335-0123
Fax
(765) 335-0127
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28164563A IN
Family Nurse Practitioner 363LF0000X 71004890A IN Primary

Addresses

Primary practice location

400 N Mount Zion Rd
Lebanon, IN 46052-9497

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other identifiers 1

IdentifierTypeStateIssuer
201224350MedicaidIN

Other names 1

  • Stacie Najdek Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stcurtis@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

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
I20140523001279 IN Practitioner - Nurse Practitioner 3779706577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

1515 N Madison Ave
Anderson, IN 46011-3453
Phone (765) 298-4242

2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone (765) 335-0123

6085 Heartland Dr
Zionsville, IN 46077-4433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164563AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Mar 22, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 22, 2021 Accepting new patients
Witham Memorial Hospital CurrentSince Sep 12, 2022 Accepting new patients
Witham Memorial Hospital CurrentSince Sep 12, 2022 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488

1515 N Madison Ave
#O
Anderson, IN 46011
Phone (765) 298-5141

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

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

400 N Mount Zion Rd
Lebanon, IN 46052
Phone (765) 335-0123

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: snajdek9382@direct.eskenazihealth.edu
  • Direct secure messaging: snajdek411724@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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1760809552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNT ZION RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529497",
            "telephone_number": "765-335-0123",
            "fax_number": "765-335-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "STACIE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164563A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004890A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201224350",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stcurtis@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "400 N Mount Zion Rd",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460529497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "NAJDEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.