STARDUST WOUND CARE INC
NPI 1255187878
Nurse Practitioner - Family in Merrillville, IN

Q: What is Stardust Wound Care Inc's NPI number?

The NPI number for Stardust Wound Care Inc is 1255187878. It was assigned to this organization in the NPPES registry on April 25, 2024.

Q: What is Stardust Wound Care Inc's specialty?

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

Active since April 25, 2024

5490 BROADWAY STE 107, MERRILLVILLE, IN 46410(219) 255-4719(219) 255-4719 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 11, 2025, Nov 4, 2024, Apr 25, 2024 (3 updates tracked since 2024).

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About Stardust Wound Care Inc NPPES

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

STARDUST WOUND CARE INC (NPI 1255187878) is a healthcare organization registered as a family in Merrillville, Indiana and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Orland Park and lists Stephanie Howard, Owner, as its authorized official.

NPPES Registry Identity

NPI1255187878

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSTARDUST WOUND CARE INC

Location Address5490 BROADWAY STE 107Merrillville, IN 46410-1676

Mailing Address609 W 77th AveMerrillville, IN 46410-5776 · (219) 255-4719

Phone(219) 255-4719

Fax(219) 255-4719

Organization SubpartNo

Authorized OfficialStephanie HowardOwner · (219) 255-4719

Enumeration DateApril 25, 2024

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1255187878 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

5490 BROADWAY STE 107, Merrillville, IN 46410

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Secondary Practice Location 1

Location 164 Orland Square Dr Ste 14Orland Park, IL 60462-6500 · Phone (219) 255-4719 · Fax (219) 255-4719

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stardust Wound Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stardust Wound Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephanie Howard, FNP-C

Nurse Practitioner

NPI 1821574187

55 E 86TH AVE STE C
Merrillville, IN 46410

(219) 255-4719

✔ PECOS✔ Accepts Medicare3.9 mi

Lucia Clark, FNP-C

Nurse Practitioner

NPI 1013885847

300 N MAIN ST STE D
Crown Point, IN 46307

(219) 663-4888

✔ PECOS7.3 mi

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

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 Stardust Wound Care Inc's NPI number?

The NPI number for Stardust Wound Care Inc is 1255187878. It was assigned to this organization in the NPPES registry on April 25, 2024.

Where is Stardust Wound Care Inc located?

Stardust Wound Care Inc is located at 5490 Broadway Ste 107, Merrillville, IN 46410. The listed phone number is (219) 255-4719.

What is Stardust Wound Care Inc's specialty?

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

Is Stardust Wound Care Inc enrolled in Medicare?

Yes. Stardust Wound Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stardust Wound Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Stardust Wound Care Inc. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stardust Wound Care Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.