DR. KATHERINE STALBAUM MD
NPI 1750025714
Pediatrics in Saint John, IN
About Dr. Katherine Stalbaum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERINE STALBAUM MD (NPI 1750025714) is an individual pediatrics provider in Saint John, Indiana, licensed in Indiana (01096446A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Katherine Stalbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Stalbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46373 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 5
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 Katherine Stalbaum's NPI number?
The NPI number for Katherine Stalbaum is 1750025714. It was assigned to this individual provider in the NPPES registry on April 26, 2022. The provider is also known as Katherine Clemens.
Where is Katherine Stalbaum located?
Katherine Stalbaum practices at 10860 Maple Ln, Saint John, IN 46373. The listed phone number is (219) 365-7000.
What is Katherine Stalbaum's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Katherine Stalbaum enrolled in Medicare?
Yes. Katherine Stalbaum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Stalbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Stalbaum reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The 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 Katherine Stalbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Stalbaum accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Katherine Stalbaum 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 Katherine Stalbaum was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Katherine Stalbaum, MD · NPI 1750025714
Pediatrics physician in Saint John, Indiana. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1750025714 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01096446A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 10860 MAPLE LN, Saint John, IN 46373-8418
- **Phone:** (219) 365-7000 · **Fax:** (219) 365-2609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Franciscan Physician Network (NPI 1366879009, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750025714) · Data from the CMS NPPES public registry.