Active NPI
Daniella C Stafford, NP
- Family Nurse Practitioner
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003942A
- Practice address
- 1107 S Tillotson Ave
Muncie, IN 47304-4517 - Phone
- (765) 717-5399
- NPI assigned
- Apr 5, 2012
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Northwestern Medicine Central Dupage Hospital
- Henry County Memorial Hospital
- Indiana University Health Ball Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.3 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003942A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC. | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC | Current | 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
- daniella.stafford@roci.eclinicaldirectplus.com
- 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.
-
dba Rheumatology of Central Indiana
- Rheumatology Physician
- Muncie, IN
- NPI 1306334255
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1013194455
IN
-
dba IU Health Urgent Care LLC
- Urgent Care Clinic/Center
- Greenwood, IN
- NPI 1750763819
-
dba IU Health Urgent Care Centers, LLC
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1972273654
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, IN
- NPI 1356428429
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.