STEPHANIE L NICHOLSON NP
NPI 1639909260
Nurse Practitioner - Family in Muncie, IN
About Stephanie L Nicholson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE L NICHOLSON NP (NPI 1639909260) is an individual family provider in Muncie, Indiana, licensed in Indiana (71015588A) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie L Nicholson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muncie, IN 47303
- Reassigned Medicare billing, Indiana enrollment
- 635 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health Ball Memorial Hospital
Acute Care Hospitals · Muncie, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47303 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.
MUNCIE, IN 47303
MUNCIE, IN 47303
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 Stephanie Nicholson's NPI number?
The NPI number for Stephanie Nicholson is 1639909260. It was assigned to this individual provider in the NPPES registry on August 7, 2024.
Where is Stephanie Nicholson located?
Stephanie Nicholson practices at 4870 E Jackson St, Muncie, IN 47303. The listed phone number is (765) 287-8596.
What is Stephanie Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Nicholson enrolled in Medicare?
Yes. Stephanie Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stephanie Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Nicholson reassigns Medicare benefits to 2 organizations: Indiana University Health Ball Memorial Physicians, Inc. (Muncie, IN) and Iu Health Medical Group, LLC (Indianapolis, 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 Stephanie Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Nicholson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Stephanie Nicholson 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.
Is Stephanie Nicholson affiliated with any hospitals?
According to CMS data, Stephanie Nicholson is affiliated with Indiana University Health Ball Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Stephanie Nicholson was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Stephanie L Nicholson, NP · NPI 1639909260
Family physician in Muncie, Indiana. Individual provider, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1639909260 (Entity type: Individual)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71015588A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4870 E JACKSON ST, Muncie, IN 47303-4432
- **Phone:** (765) 287-8596 · **Fax:** (765) 288-6514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Indiana University Health Ball Memorial Physicians, Inc. (NPI 1275852451, Muncie, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 18, 2024
- **Other identifiers:** Other 1104348269 (IN); Medicaid 300096262 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639909260) · Data from the CMS NPPES public registry.