MRS. STAYCE LYNN WOODBURN CPNP
NPI 1699933143
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Stayce Woodburn's NPI number?

The NPI number for Stayce Woodburn is 1699933143. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Q: What is Stayce Woodburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stayce Woodburn was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 30, 2008PECOS Enrolled

705 RILEY HOSPITAL DR, ROOM 4340, INDIANAPOLIS, IN 46202(317) 948-3441(317) 944-3107 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Stayce Lynn Woodburn Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STAYCE LYNN WOODBURN CPNP (NPI 1699933143) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71002385B) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699933143

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. STAYCE LYNN WOODBURNCredential: CPNP

Location Address705 RILEY HOSPITAL DR, ROOM 4340Indianapolis, IN 46202-5109

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 948-3441

Fax(317) 944-3107

Sole ProprietorNo

Enumeration DateMay 30, 2008

Last NPPES UpdateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1699933143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71002385B

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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)

Mrs. Stayce Lynn Woodburn Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)