Active NPI
Stephanie S Wieczorek, AUD
- Audiologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002605A
- Practice address
- 355 W 16TH St
Indianapolis, IN 46202-2207 - Phone
- (317) 948-3226
- NPI assigned
- Mar 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1678 | TN | |
| Audiologist | 231H00000X | 23002605A | IN | Primary |
Addresses
Primary practice location
355 W 16TH St
Indianapolis, IN 46202-2207
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1215 21st Ave S
Suite 9302
Nashville, TN 37232-8025
Phone (615) 936-6349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300047200 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swieczorek@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002605A | IN | MD | Audiologist |
| 1678 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| University Otolaryngology Associates, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
7631 Solutions Ctr
Chicago, IL 60677
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Organizations & group practices 4
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1275563447
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1992198527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207",
"telephone_number": "317-948-3226"
}
],
"practiceLocations": [
{
"address_1": "1215 21st Ave S",
"address_2": "Suite 9302",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372328025",
"country_code": "US",
"telephone_number": "615-936-6349",
"fax_number": "615-875-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIECZOREK",
"first_name": "STEPHANIE",
"middle_name": "S",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1678",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002605A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300047200",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swieczorek@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "355 W 16th St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462022207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.