Individual provider Active NPI

Daniella C Stafford, NP

  • Family Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1821354614
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003942A Issued in IN
Practice address
1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone
(765) 717-5399
NPI assigned
Apr 5, 2012
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003942A IN
Family Nurse Practitioner 363LF0000X 71003942A IN Primary

Addresses

Primary practice location

1107 S Tillotson Ave
Muncie, IN 47304-4517

Mailing address

1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399

Other practice location 1

141 W 22nd St
Anderson, IN 46016-4304
Phone (765) 641-7100

Other practice location 2

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Other practice location 3

2451 Intelliplex Dr Ste 250
Shelbyville, IN 46176-8581
Phone (765) 717-5399

Other practice location 4

900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399

Other practice location 5

2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8007
Phone (765) 717-5399

Other practice location 6

813 N Lincoln St
Greensburg, IN 47240-1330
Phone (765) 717-5399

Other practice location 7

1007 N 16th St
New Castle, IN 47362-4320
Phone (765) 717-5399

Other practice location 8

330 N Wabash Ave Ste 470
Marion, IN 46952-2685
Phone (765) 717-5399

Other names 1

  • Daniella Sams Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstafford@direct.iuhealth.org 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000302 IN Practitioner - Nurse Practitioner 6901069020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of Indiana LLCGroup PAC ID 7315291382, 9 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399

4125 W Clara LN
Concentra Urgent Care
Muncie, IN 47304-5466
Phone (765) 288-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003942AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana CurrentSince Aug 9, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Jan 1, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jan 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

813 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-7515

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

2705 S Berkley Rd
Kokomo, IN 46902
Phone (765) 453-2200

2705 S Berkley Rd
Ste 4D
Kokomo, IN 46902
Phone (317) 453-5444

330 N Wabash Ave
Ste 470
Marion, IN 46952
Phone (765) 284-3879

1107 S Tillotson Ave
Muncie, IN 47304

1107 S Tillotson Ave
Ste 1
Muncie, IN 47304
Phone (765) 213-3024

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

900 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (317) 395-3178

2451 Intelliplex Dr
Ste 250
Shelbyville, IN 46176
Phone (317) 395-5055

Interoperability endpoints

  • Direct secure messaging: daniella.stafford@roci.eclinicaldirectplus.com
  • Direct secure messaging: dstafford@direct.iuhealth.org

Organizations & group practices 5

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 4

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1821354614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399",
            "fax_number": "855-792-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164304",
            "country_code": "US",
            "telephone_number": "765-641-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2598 W White River Blvd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473035251",
            "country_code": "US",
            "telephone_number": "765-747-3888",
            "fax_number": "765-288-6139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sim Hodgin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741932",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Berkley Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469028007",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401330",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624320",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Wabash Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522685",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "DANIELLA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003942A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstafford@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLA",
            "last_name": "SAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.