NATHAN JAMES STEPHENS MD
NPI 1154826683
Family Medicine in Pendleton, IN

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
200 ENTERPRISE DR STE A, PENDLETON, IN 46064(765) 298-4567 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Jan 16, 2023, Jul 7, 2021 and 3 more (6 updates tracked since 2018).

About Nathan James Stephens Md NPPES

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

NATHAN JAMES STEPHENS MD (NPI 1154826683) is an individual family medicine provider in Pendleton, Indiana, licensed in Indiana (01085040A) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154826683
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN JAMES STEPHENSCredential: MD
Location Address200 ENTERPRISE DR STE APendleton, IN 46064-9038
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateOctober 9, 20256 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1154826683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01085040A Licensed in OH · 35.137484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 ENTERPRISE DR STE A, Pendleton, IN 46064

Secondary Practice Locations 3

Location 16905 Hospital Dr Ste 130Dublin, OH 43016-9600 · Phone (614) 923-0300
Location 21251 Huntzinger Blvd Ste 100Pendleton, IN 46064-9404 · Phone (765) 298-4567 · Fax (765) 298-4568
Location 36905 Hospital Dr Ste 200Dublin, OH 43016-9601 · Phone (614) 544-8150

Other Identifiers 1

OtherQ00382721IN · Railroad Medicare

Accepted Insurance

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

Nathan James Stephens Md 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 ID3274898895
PECOS Enrollment IDI20210713002083
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46064 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 6

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

Family Medicine
200 ENTERPRISE DR STE A
PENDLETON, IN 46064
Nurse Practitioner (Family)
200 ENTERPRISE DR STE A
PENDLETON, IN 46064
Family Medicine
200 ENTERPRISE DR STE A
PENDLETON, IN 46064
Family Medicine
200 ENTERPRISE DR STE A
PENDLETON, IN 46064
Nurse Practitioner (Family)
200 ENTERPRISE DR STE A
PENDLETON, IN 46064
Nurse Practitioner (Family)
200 ENTERPRISE DR STE A
PENDLETON, IN 46064

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 Nathan Stephens's NPI number?

The NPI number for Nathan Stephens is 1154826683. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Nathan Stephens located?

Nathan Stephens practices at 200 Enterprise Dr Ste A, Pendleton, IN 46064. The listed phone number is (765) 298-4567.

What is Nathan Stephens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan Stephens enrolled in Medicare?

Yes. Nathan Stephens 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.

What insurance does Nathan Stephens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Nathan Stephens 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 Nathan Stephens affiliated with any hospitals?

According to CMS data, Nathan Stephens is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Nathan Stephens was last updated on October 9, 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.