Active NPI
Stacey Michelle Engel, NP
- Primary Care Nurse Practitioner
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 28180686A
- Practice address
- 821 N State Road 135
Greenwood, IN 46142-1314 - Phone
- (317) 560-4300
- Fax
- (317) 530-9084
- NPI assigned
- Jul 15, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 28180686A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 28180686A | IN | |
| Primary Care Nurse Practitioner | 363LP2300X | 28180686A | IN | Primary |
Addresses
Primary practice location
821 N State Road 135
Greenwood, IN 46142-1314
Mailing address
821 N State Road 135
Greenwood, IN 46142-1314
Phone (317) 560-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01678705 | Other | IN | RR PTAN |
| 201253850 | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140915000811 | IN | Practitioner - Nurse Practitioner | 4284853813 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Paradigm Living Concepts LLC
Practice addresses (Care Compare)
8904 Bash St
Suite B
Indianapolis, IN 46256-1286
Phone (317) 735-6001
Hospital & facility affiliations
- Paradigm Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28180686A | IN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workit Health Mi PLLC | Current | Accepting new patients | |
| Paradigm Living Concepts, LLC | Gerontology | Current | Accepting new patients |
| Workit Health Mi PLLC | Current | Accepting new patients | |
| Paradigm Living Concepts, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2160 W 86th St
Ste 200
Indianapolis, IN 46260
Phone (941) 539-9889
8904 Bash St
Ste B
Indianapolis, IN 46256
Phone (317) 735-6001
Organizations & group practices 6
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.
-
- Gerontology Nurse Practitioner
- Indianapolis, IN
- NPI 1679194773
Gerontology, IN
-
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1669186334
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1407289119
-
- General Practice Physician
- Albuquerque, NM
- NPI 1689403958
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1407289119
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1871900498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 N STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421314",
"telephone_number": "317-560-4300",
"fax_number": "317-530-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421314",
"telephone_number": "317-560-4300",
"fax_number": "317-530-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "STACEY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28180686A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "28180686A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "28180686A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01678705",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201253850",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.