STEPHANIE L NICHOLSON NP
NPI 1639909260
Nurse Practitioner - Family in Muncie, IN

Q: 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.

Q: What is Stephanie Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment

4870 E JACKSON ST, MUNCIE, IN 47303(765) 287-8596(765) 288-6514 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Sep 12, 2024, Aug 14, 2024 and 1 more (4 updates tracked since 2024).

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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

NPI1639909260

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE L NICHOLSONCredential: NP

Location Address4870 E JACKSON STMuncie, IN 47303-4432

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 287-8596

Fax(765) 288-6514

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 7, 2024

Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1639909260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71015588A

4870 E JACKSON ST, Muncie, IN 47303

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Secondary Practice Location 1

Location 1349 W 1ST STAlbany, IN 47320-1705 · Phone (765) 287-8596 · Fax (765) 288-6514

Other Identifiers 2

Other1104348269IN · Anthem Ptan

Medicaid300096262IN

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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9234670027

PECOS Enrollment IDI20240919003714

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.

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, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Physician 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.

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.

INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)