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STEPHANIE ANN FORTMAN PMHNP
NPI 1902643729
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment
1311 W 96TH ST, INDIANAPOLIS, IN 46260(765) 698-8192 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Ann Fortman Pmhnp NPPES

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

STEPHANIE ANN FORTMAN PMHNP (NPI 1902643729) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71016070A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902643729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHANIE ANN FORTMANCredential: PMHNP
Location Address1311 W 96TH STIndianapolis, IN 46260-1191
Mailing AddressPo Box 304Cambridge City, IN 47327-0304 · (765) 698-8192
Phone(765) 698-8192
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1902643729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71016070A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28268154A (IN)
1311 W 96TH ST, Indianapolis, IN 46260
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Ann Fortman Pmhnp 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 ID6800316829
PECOS Enrollment IDI20250220003523
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Fortman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mending Minds, LLC
Same address
Psychiatry
1311 W 96TH ST STE 110
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 21 clinicians in this Medicare group
NPI 1780258798 (317) 876-3699

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 46260 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

C.Y. SMITH & ASSOCIATES, INC
Home Health
1311 W 96TH ST, SUITE 121
INDIANAPOLIS, IN 46260
Marion County (317) 918-5886
CHRISTINE E JOHNSON MSW
Social Worker
1311 W 96TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 876-3699
NATALIA OSMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1311 W 96TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 876-3699
MAKALAH MARIE KRICK LCSW
Social Worker (Clinical)
1311 W 96TH ST
INDIANAPOLIS, IN 46260
Marion County (512) 648-9943
PEACEFUL PRESENCE PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
1311 W 96TH ST
INDIANAPOLIS, IN 46260
Marion County (812) 630-9183
LAKYN DAVIS
Social Worker (Clinical)
1311 W 96TH ST
INDIANAPOLIS, IN 46260
Marion County (765) 401-1540

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 Fortman's NPI number?

The NPI number for Stephanie Fortman is 1902643729. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Stephanie Fortman located?

Stephanie Fortman practices at 1311 W 96th St, Indianapolis, IN 46260. The listed phone number is (765) 698-8192.

What is Stephanie Fortman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephanie Fortman enrolled in Medicare?

Yes. Stephanie Fortman 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 organization bills Medicare for Stephanie Fortman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fortman reassigns Medicare benefits to Mending Minds, LLC (Indianapolis, 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 Stephanie Fortman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Fortman 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 Fortman 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 Stephanie Fortman was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.