Individual provider Active NPI

Stefanie Marie Dunn, NP

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1790036937
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71004132A Issued in IN
Practice address
8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096
Phone
(317) 338-8857
NPI assigned
Sep 27, 2012
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28164174A IN
Pediatric Nurse Practitioner 363LP0200X 71004132A IN Primary

Addresses

Primary practice location

8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096

Mailing address

8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096

Other practice location 1

8402 Harcourt Rd
Suite 402
Indianapolis, IN 46260-2074
Phone (317) 338-9450

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sdunn@direct.iuhealth.org
Direct Messaging Address sdunn@direct.iuhealth.org
Direct Messaging Address stefanie.dunn.1@7598.direct.athenahealth.com St Vincent Pediatric Subspecialties

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
I20130705000402 IN Practitioner - Nurse Practitioner 9234379769 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164174AINMDPediatric Nurse Practitioner
71004132AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties CurrentSince Jan 15, 2023 Accepting new patients
Indiana University Health, Inc CurrentSince Oct 5, 2020 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Jan 15, 2023 Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

8402 Harcourt Rd
Ste 402
Indianapolis, IN 46260
Phone (317) 338-6563

8402 Harcourt Rd
Ste 830
Indianapolis, IN 46260
Phone (317) 338-8857

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: stefanie.dunn.1@7598.direct.athenahealth.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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1790036937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 830",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 830",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602096",
            "telephone_number": "317-338-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Harcourt Rd",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602074",
            "country_code": "US",
            "telephone_number": "317-338-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "STEFANIE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28164174A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71004132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdunn@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "8402 Harcourt Rd",
            "address_2": "Suite 402",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdunn@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "8402 Harcourt Rd",
            "address_2": "Suite 402",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefanie.dunn.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Vincent Pediatric Subspecialties",
            "address_1": "8402 Harcourt Rd Ste 830",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.