Individual provider Active NPI

Stephanie B Eckerle, PA-C

  • Surgical Physician Assistant
  • Winchester, IN
National Provider Identifier
1881650414
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10000760A Issued in IN
Practice address
473 SE Greenville Ave
Winchester, IN 47394-9436
Phone
(765) 584-0339
Fax
(855) 670-4813
NPI assigned
Apr 22, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000760A IN
Physician Assistant 363A00000X 50.003971 OH
Surgical Physician Assistant 363AS0400X 10000760A IN Primary

Addresses

Primary practice location

473 SE Greenville Ave
Winchester, IN 47394-9436

Mailing address

473 SE Greenville Ave
Winchester, IN 47394-9436

Other identifiers 1

IdentifierTypeStateIssuer
300006468MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.eckerle.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20050331001081 IN Practitioner - Physician Assistant 9133176258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

473 E Greenville Ave
Winchester, IN 47394-9436
Phone (765) 584-0339

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003971OHMDPhysician Assistant
10000760AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Jul 1, 2019 Accepting new patients
Margaret Mary Community Hospital, Inc Current Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Jul 1, 2019 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Orthopaedic Surgical Care Institute Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1941 Virginia Ave
Connersville, IN 47331
Phone (765) 825-5131

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

Interoperability endpoints

  • Direct secure messaging: stephanie.eckerle.2@7598.direct.athenahealth.com
  • Direct secure messaging: stephanie.eckerle@mmhealth.cernerdirect.com

Organizations & group practices 7

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 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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1881650414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 SE GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 SE GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949436",
            "telephone_number": "765-584-0339",
            "fax_number": "855-670-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERLE",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000760A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003971",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000760A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300006468",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.eckerle.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "473 SE Greenville Ave",
            "city": "Winchester",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473949436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

Verify at the official NPI Registry.