Individual provider Active NPI

Dominique Rochelle Stewart, CNP

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1962040501
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015644A Issued in IN
Practice address
2300 E Main St
Richmond, IN 47374
Phone
(765) 598-5700
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025226 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.025226 OH
Family Nurse Practitioner 363LF0000X 71015644A IN Primary

Addresses

Primary practice location

2300 E Main St
Richmond, IN 47374

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 983-3127

Other practice location 1

622 E Elm St
Union City, OH 45390-1722
Phone (937) 968-7416

Other practice location 2

1843 W Main St
Troy, OH 45373-2303
Phone (937) 208-4120

Other practice location 3

828 Central Ave
Greenville, OH 45331-1206
Phone (937) 968-9669

Other names 1

  • Dominique Rochelle Purdin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstewart485820@ReidHealth.direct-ci.com Health Information Exchange (HIE) Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200206002613 OH Practitioner - Nurse Practitioner 4082040282 Reassigns benefits to 2 organizations
I20240829000351 IN Practitioner - Nurse Practitioner 4082040282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
98
Promoting interoperability
99
Improvement activities
40
Cost
79.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Jun 22, 2024 Accepting new patients
Premier Health Urgent Care, Inc. CurrentSince Jan 2, 2020 Accepting new patients
Suresh Gupta MD Inc CurrentSince Sep 24, 2024 Accepting new patients
FC Indiana, LLC Nurse Practitioner CurrentSince Jun 22, 2024 Accepting new patients
Miami Valley Urgent Care LLC CurrentSince Sep 24, 2024 Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

3600 E Main St
Richmond, IN 47374
Phone (765) 598-5700

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1403 Wagner Ave
Greenville, OH 45331
Phone (937) 459-5389

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

1843 W Main St
Troy, OH 45373
Phone (937) 208-4120

Interoperability endpoints

  • Direct secure messaging: dstewart485820@reidhealth.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1962040501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-983-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-598-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "OH",
            "postal_code": "453901722",
            "country_code": "US",
            "telephone_number": "937-968-7416",
            "fax_number": "937-968-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732303",
            "country_code": "US",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "828 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311206",
            "country_code": "US",
            "telephone_number": "937-968-9669",
            "fax_number": "937-569-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DOMINIQUE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015644A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstewart485820@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2300 E Main St",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "PURDIN",
            "middle_name": "ROCHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.