Individual provider Active NPI

Stacey Lynn Roberts, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1831656230
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008781A Issued in IN
Practice address
5925 E 71St St
Indianapolis, IN 46220-4003
Phone
(317) 845-9072
NPI assigned
Feb 22, 2019
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008781A IN Primary

Addresses

Primary practice location

5925 E 71St St
Indianapolis, IN 46220-4003

Mailing address

5925 E 71St St
Indianapolis, IN 46220-4003
Phone (317) 845-9072

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
I20190918000486 IN Practitioner - Nurse Practitioner 8820337751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Indiana Neurology and Pain Center LLCGroup PAC ID 5294001574, 14 clinicians

Practice addresses (Care Compare)

5925 E 71St St
Indianapolis, IN 46220-4003
Phone (866) 389-2727

7301 N Shadeland Ave
Suite 1a
Indianapolis, IN 46250-2085
Phone (317) 939-6100

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008781AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Neurology and Pain Center LLC CurrentSince Jan 1, 2025 Accepting new patients
Indiana Neurology and Pain Center LLC CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3850 Shore Dr
Ste 203
Indianapolis, IN 46254
Phone (317) 297-3774

7301 N Shadeland Ave
Ste 1A
Indianapolis, IN 46250
Phone (317) 577-1800

Interoperability endpoints

  • Direct secure messaging: stacey.roberts.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: stacey.roberts@3126.securemail.prognocis.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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1831656230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 E 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204003",
            "telephone_number": "317-845-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 E 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204003",
            "telephone_number": "317-845-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008781A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.