STACIA L. WHITAKER NP
NPI 1861853301
Nurse Practitioner - Neonatal in Indianapolis, IN

Q: What is Stacia Whitaker's NPI number?

The NPI number for Stacia Whitaker is 1861853301. It was assigned to this individual provider in the NPPES registry on March 11, 2016. The provider is also known as Stacia L. Wilson.

Q: What is Stacia Whitaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacia Whitaker was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 11, 2016PECOS Enrolled

705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 46202(317) 274-4715(317) 274-2065 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Aug 9, 2023, Nov 28, 2022 and 2 more (5 updates tracked since 2016).

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About Stacia L. Whitaker Np NPPES

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

STACIA L. WHITAKER NP (NPI 1861853301) is an individual neonatal provider in Indianapolis, Indiana, licensed in Indiana (71006146A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861853301

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameSTACIA L. WHITAKERCredential: NP

Location Address705 RILEY HOSPITAL DR, RR 208Indianapolis, IN 46202-5109

Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939

Phone(317) 274-4715

Fax(317) 274-2065

Sole ProprietorNo

Enumeration DateMarch 11, 2016

Last NPPES UpdateOctober 2, 20255 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1861853301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

Licenses✔ Licensed in IN · 71006146A✔ Licensed in IN · 71006146✔ Licensed in IN · 28171919

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Stacia L. Wilson

Secondary Practice Locations 2

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666

Location 25165 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8000 · Fax (765) 838-4758

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)

Stacia L. Whitaker Np 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)