Individual provider Active NPI

Stephanie L Grunden, FNP

  • Family Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1841958543
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012169A Issued in IN
Practice address
411 W Tipton St
Seymour, IN 47274-2363
Phone
(812) 524-4253
Fax
(812) 524-4255
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 71012169A IN Primary

Addresses

Primary practice location

411 W Tipton St
Seymour, IN 47274-2363

Mailing address

280 S County Road 700 W
North Vernon, IN 47265-7530
Phone (812) 592-3922

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
I20220321001983 IN Practitioner - Nurse Practitioner 6608261037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012169AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Family CurrentSince Dec 20, 2023 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

411 W Tipton St
#5
Seymour, IN 47274

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1130 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

Organizations & group practices 3

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1841958543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S COUNTY ROAD 700 W",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657530",
            "telephone_number": "812-592-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-524-4253",
            "fax_number": "812-524-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDEN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.