Individual provider Active NPI

Caroline B Stevens, DO

  • Neurology Physician
  • Anderson, IN
National Provider Identifier
1992028039
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
02003636A Issued in IN
Practice address
1210 Medical Arts Blvd Ste 114
Anderson, IN 46011-3442
Phone
(765) 298-4545
Fax
(765) 298-4945
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 02003636A IN Primary

Addresses

Primary practice location

1210 Medical Arts Blvd Ste 114
Anderson, IN 46011-3442

Mailing address

1210 Medical Arts Blvd Ste 114
Anderson, IN 46011-3442
Phone (765) 298-4545

Other identifiers 2

IdentifierTypeStateIssuer
000000805266OtherINANTHEM BCBS
200975700MedicaidIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000024 IN Practitioner - Neurology 8628105905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

2101 Jackson St
Suite 106
Anderson, IN 46016-4386
Phone (765) 298-4545

Hospital & facility affiliations

  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003636AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephson-Wallack-Munshower Neurology PC Neurology CurrentSince Apr 1, 2013 Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2101 Jackson St
Ste 106
Anderson, IN 46016
Phone (765) 298-4545

1601 Medical Arts Blvd
Ste 102
Anderson, IN 46011
Phone (765) 298-4545

1210 Medical Arts Blvd
Ste 114
Anderson, IN 46011
Phone (765) 298-4425

6983 Hillsdale Ct
Indianapolis, IN 46250

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
  • Direct secure messaging: caroline.stevens@cinjwm.directbygreenway.com

Organizations & group practices 3

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 3

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1992028039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MEDICAL ARTS BLVD STE 114",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113442",
            "telephone_number": "765-298-4545",
            "fax_number": "765-298-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MEDICAL ARTS BLVD STE 114",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113442",
            "telephone_number": "765-298-4545",
            "fax_number": "765-298-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CAROLINE",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02003636A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000805266",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200975700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.