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DR. JENNIFER A STONE M.D.
NPI 1255394391
Pediatrics in Madison, IN

Active since April 10, 2006PECOS Enrolled
1373 E STATE ROAD 62, LEVEL 2, MADISON, IN 47250(812) 801-0300(812) 801-0585 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jennifer A Stone M.d. NPPES

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

DR. JENNIFER A STONE M.D. (NPI 1255394391) is an individual pediatrics provider in Madison, Indiana, licensed in Indiana (01051233A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1255394391
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNIFER A STONECredential: M.D.
Location Address1373 E STATE ROAD 62, LEVEL 2Madison, IN 47250-7328
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(812) 801-0300
Fax(812) 801-0585
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1255394391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01051233A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1373 E STATE ROAD 62, Madison, IN 47250
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Secondary Practice Location 1

Location 12522 Waterbridge WayEvansville, IN 47710-3200 · Phone (812) 422-6886 · Fax (812) 428-5508

Other Identifiers 2

Medicaid7101026800KY
Medicaid300079513IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer A Stone M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Stone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton - Kings Daughters Health Inc
Same address
Family Medicine
1373 E STATE ROAD 62
Madison, IN 47250
  • Reassigned Medicare billing, Indiana enrollment
  • 142 clinicians in this Medicare group
NPI 1114955093 (812) 801-0800
Norton Children's Medical Group, LLC
35 mi
Neurology with Special Qualifications in Child Neurology
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 94 clinicians in this Medicare group
NPI 1134760796 (502) 272-5336

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 47250 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 20

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

SARA NICOLE THORPE FNP-C
Nurse Practitioner (Family)
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0152
PAUL W CRONEN JR. M.D.
Surgery
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0840
TONYA MARIE FEIDER
Dietitian, Registered
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0800
DAYNE JAMESON OUSLEY
Student in an Organized Health Care Education/Training Program
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0800
STEVEN LEE VORHIES M.D.
Family Medicine
1373 E STATE ROAD 62, LEVEL 2
MADISON, IN 47250
Jefferson County (812) 801-0828
ABDELMESSIAH K GUIRGUIS MD
Internal Medicine
1373 E STATE ROAD 62, LEVEL 1
MADISON, IN 47250
Jefferson County (812) 801-0826
NORTON - KINGS DAUGHTERS HEALTH INC
Family Medicine
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0800
MARK T VIEHMANN MD
Anesthesiology
1373 E STATE ROAD 62
MADISON, IN 47250
Jefferson County (812) 801-0800

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 Jennifer Stone's NPI number?

The NPI number for Jennifer Stone is 1255394391. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Jennifer Stone located?

Jennifer Stone practices at 1373 E State Road 62 Level 2, Madison, IN 47250. The listed phone number is (812) 801-0300.

What is Jennifer Stone's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Stone enrolled in Medicare?

Yes. Jennifer Stone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Stone reassigns Medicare benefits to 2 organizations: Norton - Kings Daughters Health Inc (Madison, IN) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Jennifer Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Stone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jennifer Stone 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.

When was this NPI record last updated?

The NPPES record for Jennifer Stone was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.