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STACY TABOR NP
NPI 1093579203
Nurse Practitioner - Gerontology in Noblesville, IN

Active since February 08, 2024PECOS EnrolledAccepts Medicare Assignment
1667 SHERIDAN RD, NOBLESVILLE, IN 46062(317) 770-3400 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Tabor Np NPPES

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

STACY TABOR NP (NPI 1093579203) is an individual gerontology provider in Noblesville, Indiana, licensed in Indiana (28214801A) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 21 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093579203
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSTACY TABORCredential: NP
Location Address1667 SHERIDAN RDNoblesville, IN 46062-8723
Mailing Address11313 Usa Pkwy Ste E145Fishers, IN 46037-9208 · (317) 781-4500
Phone(317) 770-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 8, 2024
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1093579203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 28214801A
1667 SHERIDAN RD, Noblesville, IN 46062
Open in Google Maps ↗

Secondary Practice Locations 21

Location 1725 N Bell Trace CirBloomington, IN 47408-4408 · Phone (812) 323-2858
Location 21380 E County Line RdIndianapolis, IN 46227-0962 · Phone (317) 885-7050
Location 3625 E Water StPendleton, IN 46064-8551 · Phone (765) 778-2384
Location 4300 Jh Walker DrPendleton, IN 46064-8730 · Phone (765) 788-7501
Location 5868 S Washington StMorristown, IN 46161-9633 · Phone (765) 763-6012
Location 6937 Fry RdGreenwood, IN 46142-1820 · Phone (317) 881-3535
Location 7326 Country club DrNew Albany, IN 47150-4618 · Phone (812) 948-1311
Location 81925 Reeves RdPlainfield, IN 46168-5501 · Phone (317) 838-7070
Location 9205 Marine DrAnderson, IN 46016-5937 · Phone (765) 649-4558
Location 101701 McDowell RdEvansville, IN 47712-5431 · Phone (812) 985-9955
Location 11621 S Sugar StBrownstown, IN 47220-2066 · Phone (812) 358-2504
Location 121250 W 146th StWestfield, IN 46074-9870 · Phone (317) 844-5050
Location 13118 Medical DrCarmel, IN 46032-3323 · Phone (317) 844-4211
Location 1411851 Cumberland RdFishers, IN 46037-8273 · Phone (317) 813-4444
Location 15559 W Longest StPaoli, IN 47454-9670 · Phone (812) 723-2595
Location 1655 Willow StNashville, IN 47448-7013 · Phone (812) 988-6666
Location 171111 Church AveJasper, IN 47546-3761 · Phone (812) 634-7750
Location 183701 Hodgin RdRichmond, IN 47374-7443 · Phone (765) 939-3701
Location 193525 E Hanna AveIndianapolis, IN 46237-1230 · Phone (317) 788-4261 · Fax (317) 788-4261
Location 201667 Sheridan RdNoblesville, IN 46062-8723 · Phone (317) 770-3400
Location 213154 S State Road 135Greenwood, IN 46143-9609 · Phone (317) 535-3344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Tabor Np 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 ID1850736604
PECOS Enrollment IDI20240301003694
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.

Areas of Expertise CMS Part B claims 7

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
64 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services15 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46062 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.

Other Providers at the Same Location NPPES 3

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

RIVERVIEW HOSPITAL
Skilled Nursing Facility
1667 SHERIDAN RD
NOBLESVILLE, IN 46062
Hamilton County (317) 770-3400
VAN NESS SPAUGH SMITH INC
Skilled Nursing Facility
1667 SHERIDAN RD
NOBLESVILLE, IN 46062
Hamilton County (317) 773-9205
THE LODGE AT THE HARBOURS
Assisted Living Facility
1667 SHERIDAN RD
NOBLESVILLE, IN 46062
Hamilton County (317) 770-3400

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 Stacy Tabor's NPI number?

The NPI number for Stacy Tabor is 1093579203. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Stacy Tabor located?

Stacy Tabor practices at 1667 Sheridan Rd, Noblesville, IN 46062. The listed phone number is (317) 770-3400.

What is Stacy Tabor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Stacy Tabor enrolled in Medicare?

Yes. Stacy Tabor 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.

When was this NPI record last updated?

The NPPES record for Stacy Tabor was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.