NATHAN M STADEM
NPI 1619770484
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Nathan M Stadem NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN M STADEM (NPI 1619770484) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltic.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nathan M Stadem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Nathan Stadem's NPI number?
The NPI number for Nathan Stadem is 1619770484. It was assigned to this individual provider in the NPPES registry on March 28, 2025.
Where is Nathan Stadem located?
Nathan Stadem practices at 350 W 14th St, Indianapolis, IN 46202. The listed phone number is (317) 274-0267.
What is Nathan Stadem's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nathan Stadem enrolled in Medicare?
Yes. Nathan Stadem is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nathan Stadem was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nathan M Stadem · NPI 1619770484
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1619770484 (Entity type: Individual)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W 14TH ST, Indianapolis, IN 46202-2369
- **Phone:** (317) 274-0267
## 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:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619770484) · Data from the CMS NPPES public registry.