Active NPI
Linda Kay Stapleton
- Nurse Practitioner
- Camden, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002400
- Practice address
- 132 W Main St
Camden, IN 46917-9997 - Phone
- (574) 686-2022
- Fax
- (574) 686-2024
- NPI assigned
- Jun 11, 2007
- Last updated
- Oct 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002400 | IN | Primary |
Addresses
Primary practice location
132 W Main St
Camden, IN 46917-9997
Mailing address
132 W Main St
Camden, IN 46917-9997
Phone (574) 686-2022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000636086 | Other | IN | ANTHEM |
| 200915190 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002400 | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs, Inc | Nurse Practitioner | Current | Accepting new patients |
| Extended Care Specialists, Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus Wholehealth Midwest Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs - Kentucky, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus WH Midwest Care, LLC | Nurse Practitioner | Current | Accepting new patients |
| Indiana University Health Inc | Past | Accepting new patients | |
| Methodist Medical Group Physicians Inc | Past | Accepting new patients | |
| Advanced Healthcare Associates LLP | Nurse Practitioner | Past | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3512 Stellhorn Rd
Fort Wayne, IN 46815
150 W Market St
Ste 400
Indianapolis, IN 46204
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
8398 Mississippi St
Fl 2
Merrillville, IN 46410
Organizations & group practices 8
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.
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
Nurse Practitioner
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Family Medicine Physician
- Columbus, IN
- NPI 1386252757
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
Nurse Practitioner
-
dba West Retail Pharmacy
- Community/Retail Pharmacy
- Avon, IN
- NPI 1114995784
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1285673616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1881897353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 W MAIN ST",
"city": "CAMDEN",
"state": "IN",
"postal_code": "469179997",
"telephone_number": "574-686-2022",
"fax_number": "574-686-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 W MAIN ST",
"city": "CAMDEN",
"state": "IN",
"postal_code": "469179997",
"telephone_number": "574-686-2022",
"fax_number": "574-686-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "LINDA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000636086",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200915190",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.