Individual provider Active NPI

Stacey Michelle Engel, NP

  • Primary Care Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1871900498
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28180686A Issued in IN
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

Updated by the provider on Mar 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01678705OtherINRR PTAN
201253850MedicaidIN

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
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 LLCGroup PAC ID 1355575424, 13 clinicians

Practice addresses (Care Compare)

8904 Bash St
Suite B
Indianapolis, IN 46256-1286
Phone (317) 735-6001

Hospital & facility affiliations

  • Paradigm Health Hospice, Indianapolis, IN, CCN 151611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28180686AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince Dec 22, 2022 Accepting new patients
Paradigm Living Concepts, LLC Gerontology CurrentSince Sep 25, 2023 Accepting new patients
Workit Health Mi PLLC CurrentSince Dec 22, 2022 Accepting new patients
Paradigm Living Concepts, LLC CurrentSince Sep 25, 2023 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.

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": "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

Verify at the official NPI Registry.