STACIE L HOUSHOLDER FNP-C
NPI 1326394891
Nurse Practitioner in Fort Wayne, IN
About Stacie L Housholder Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE L HOUSHOLDER FNP-C (NPI 1326394891) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71004055A) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacie L Housholder Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stacie Housholder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46806
- Reassigned Medicare billing, Indiana enrollment
- 260 clinicians in this Medicare group
South Bend, IN 46628
- Reassigned Medicare billing, Indiana enrollment
- 110 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 46845 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 20
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 Stacie Housholder's NPI number?
The NPI number for Stacie Housholder is 1326394891. It was assigned to this individual provider in the NPPES registry on August 2, 2012. The provider is also known as Stacie L Todd Fnp-C.
Where is Stacie Housholder located?
Stacie Housholder practices at 3909 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 469-6602.
What is Stacie Housholder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacie Housholder enrolled in Medicare?
Yes. Stacie Housholder is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacie Housholder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Housholder reassigns Medicare benefits to 2 organizations: Bowen Health Inc (Fort Wayne, IN) and Vpa PC (South Bend, IN). 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 Stacie Housholder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Housholder accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Stacie Housholder 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 Stacie Housholder was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Stacie L Housholder, FNP-C · NPI 1326394891
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 2, 2012.
## Identity
- **NPI:** 1326394891 (Entity type: Individual)
- **Enumerated:** August 2, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71004055A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3909 NEW VISION DR, Fort Wayne, IN 46845-1725
- **Phone:** (260) 469-6602
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Bowen Health Inc (NPI 1023668183, Fort Wayne, IN); Vpa PC (NPI 1720605884, South Bend, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1326394891) · Data from the CMS NPPES public registry.