Active NPI
Caroline B Stevens, DO
- Neurology Physician
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 02003636A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000805266 | Other | IN | ANTHEM BCBS |
| 200975700 | 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: Yes
Enrollment records 1
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
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
- Ascension St Vincent Anderson
- Riverview Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.89 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02003636A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephson-Wallack-Munshower Neurology PC | Neurology | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
- 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.
-
- Neurology Physician
- Indianapolis, IN
- NPI 1740377803
-
- Neurology Physician
- Indianapolis, IN
- NPI 1538119219
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.