MS. STEPHANIE BANDSTRA RN, MSN, ACNS-BC
NPI 1215388426
Nurse Practitioner - Family in Dyer, IN
About Ms. Stephanie Bandstra Rn, Msn, Acns-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STEPHANIE BANDSTRA RN, MSN, ACNS-BC (NPI 1215388426) is an individual family provider in Dyer, Indiana, licensed in Indiana (71006800A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Stephanie Bandstra Rn, Msn, Acns-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Bandstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46311 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 7
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 Stephanie Bandstra's NPI number?
The NPI number for Stephanie Bandstra is 1215388426. It was assigned to this individual provider in the NPPES registry on June 29, 2016.
Where is Stephanie Bandstra located?
Stephanie Bandstra practices at 875 Joliet St, Dyer, IN 46311. The listed phone number is (219) 440-7340.
What is Stephanie Bandstra's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Bandstra enrolled in Medicare?
Yes. Stephanie Bandstra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Bandstra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Bandstra reassigns Medicare benefits to Community Care Network Inc (St John, IN). The 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 Bandstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Bandstra was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Ms. Stephanie Bandstra, RN, MSN, ACNS-BC · NPI 1215388426
Family physician in Dyer, Indiana. Individual provider, active in the CMS NPPES registry since June 29, 2016.
## Identity
- **NPI:** 1215388426 (Entity type: Individual)
- **Enumerated:** June 29, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71006800A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 875 JOLIET ST, Dyer, IN 46311-1920
- **Phone:** (219) 440-7340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Network Inc (NPI 1457610487, St John, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215388426) · Data from the CMS NPPES public registry.