Active NPI
Jessica Stombaugh
- Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71012747A
- Practice address
- 1345 Unity PL Ste 145
Lafayette, IN 47905-5762 - Phone
- (765) 446-5220
- Fax
- (765) 446-5221
- NPI assigned
- Sep 5, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28165476A | IN | |
| Nurse Practitioner | 363L00000X | 71012747A | IN | Primary |
Addresses
Primary practice location
1345 Unity PL Ste 145
Lafayette, IN 47905-5762
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other practice location 1
975 Mezzanine Dr Ste C
Lafayette, IN 47905-8635
Phone (765) 446-5220
Other practice location 2
5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
975 Mezzanine Dr
Suite C
Lafayette, IN 47905-8635
Phone (765) 446-5220
Hospital & facility affiliations
- Franciscan Health Lafayette
- Franciscan Health Rensselaer, Inc
- Indiana University Health Arnett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012747A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare,LLC | Current | Accepting new patients | |
| Unity Healthcare LLC | Current | Accepting new patients | |
| Unity Healthcare, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1345 Unity Pl
Ste 145
Lafayette, IN 47905
Phone (765) 446-5100
975 Mezzanine Dr
Ste C
Lafayette, IN 47905
Phone (765) 446-5220
1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065
152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556
Interoperability endpoints
- jessicastombaugh@idx.allscriptsdirect.net
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.
-
- Vascular Surgery Physician
- Lafayette, IN
- NPI 1427759182
-
- Neurology Physician
- Lafayette, IN
- NPI 1497023162
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1992473755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 UNITY PL STE 145",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055762",
"telephone_number": "765-446-5220",
"fax_number": "765-446-5221"
}
],
"practiceLocations": [
{
"address_1": "975 Mezzanine Dr Ste C",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058635",
"country_code": "US",
"telephone_number": "765-446-5220",
"fax_number": "765-446-5221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5165 McCarty Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058764",
"country_code": "US",
"telephone_number": "765-448-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOMBAUGH",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28165476A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012747A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.