STACY TABOR NP
NPI 1093579203
Nurse Practitioner - Gerontology in Noblesville, IN
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, is affiliated with Franciscan Health Indianapolis, and maintains 21 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 21
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Tabor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
St Augustine, FL 32086
- Reassigned Medicare billing, Indiana enrollment
- 40 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Franciscan Health Indianapolis
Acute Care Hospitals · Indianapolis, INPhysician 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.
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.
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.
Which organizations bill Medicare for Stacy Tabor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Tabor reassigns Medicare benefits to 2 organizations: Lifespan Advanced Care LLC (Carmel, IN) and Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (St Augustine, FL). 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 Stacy Tabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Tabor accept?
Health plans from Anthem Blue Cross and Blue Shield list Stacy Tabor 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.
Is Stacy Tabor affiliated with any hospitals?
According to CMS data, Stacy Tabor is affiliated with Franciscan Health Indianapolis.
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 11 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.
# Stacy Tabor, NP · NPI 1093579203
Gerontology physician in Noblesville, Indiana. Individual provider, active in the CMS NPPES registry since February 8, 2024.
## Identity
- **NPI:** 1093579203 (Entity type: Individual)
- **Enumerated:** February 8, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 28214801A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1667 SHERIDAN RD, Noblesville, IN 46062-8723
- **Phone:** (317) 770-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifespan Advanced Care LLC (NPI 1558238345, Carmel, IN); Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (NPI 1023866597, St Augustine, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093579203) · Data from the CMS NPPES public registry.