Individual provider Active NPI

Lucas Stippler, FNP-BC

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1851114631
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016232A Issued in IN
Practice address
711 Saint Marys Dr
Evansville, IN 47714-0508
Phone
(812) 476-4362
Fax
(812) 469-3700
NPI assigned
Nov 1, 2024
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 71016232A IN Primary

Addresses

Primary practice location

711 Saint Marys Dr
Evansville, IN 47714-0508

Mailing address

711 Saint Marys Dr
Evansville, IN 47714-0508
Phone (812) 476-4362

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
I20250324000112 IN Practitioner - Nurse Practitioner 1254853930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

711 Saint Marys Dr
Evansville, IN 47714-0508
Phone (812) 485-5858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71016232AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Mar 16, 2025 Accepting new patients
St Mary's Medical Group, LLC Family CurrentSince Mar 16, 2025 Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

711 Saint Marys Dr
Evansville, IN 47714
Phone (812) 479-4437

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

100 St Marys Epworth Xing
Ste A300
Newburgh, IN 47630
Phone (812) 485-7752

Interoperability endpoints

  • Direct secure messaging: lucas.stippler.1@7598.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1851114631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SAINT MARYS DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140508",
            "telephone_number": "812-476-4362",
            "fax_number": "812-469-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SAINT MARYS DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140508",
            "telephone_number": "812-476-4362",
            "fax_number": "812-469-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPPLER",
        "first_name": "LUCAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.