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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacie L Housholder Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 3 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
## 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.