STEPHANIE ANN CLOUSE NP-C
NPI 1003314246
Nurse Practitioner - Family in Fort Wayne, IN

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
7910 W JEFFERSON BLVD STE 120, FORT WAYNE, IN 46804(260) 435-7612(260) 435-7672 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Ann Clouse Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ANN CLOUSE NP-C (NPI 1003314246) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71007750A) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003314246
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE ANN CLOUSECredential: NP-C
Location Address7910 W JEFFERSON BLVD STE 120Fort Wayne, IN 46804-4159
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Fax(260) 435-7672
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 23, 2018
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1003314246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71007750A
7910 W JEFFERSON BLVD STE 120, Fort Wayne, IN 46804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Ann Clouse Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658631171
PECOS Enrollment IDI20180201000808
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Stephanie Clouse reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 clinicians in this Medicare group
Hospitalist
215 W 4TH ST, # 200
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Indiana enrollment
  • 49 clinicians in this Medicare group
Internal Medicine
120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027
  • Reassigned Medicare billing, Indiana enrollment
  • 218 clinicians in this Medicare group
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Indiana enrollment
  • 84 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%168 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Physician Assistant
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Radiology (Neuroradiology)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Neurological Surgery
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Clouse's NPI number?

The NPI number for Stephanie Clouse is 1003314246. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Stephanie Clouse located?

Stephanie Clouse practices at 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804. The listed phone number is (260) 435-7612.

What is Stephanie Clouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Clouse enrolled in Medicare?

Yes. Stephanie Clouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephanie Clouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Clouse reassigns Medicare benefits to 5 organizations: Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN), Sound Physicians Of Indiana, LLC (Mishawaka, IN), Healing Partners Plus PLLC (Naperville, IL), Hospitalist Medicine Physicians Of Indiana, LLC (Brentwood, TN) and Consonant Healing Associates Of De LLC (Sparks, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Clouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Clouse accept?

Health plans from CareSource list Stephanie Clouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Clouse was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.