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STASIANNE MALLIN
NPI 1942046925
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 08, 2024PECOS Enrolled
635 BARNHILL DR RM 112, INDIANAPOLIS, IN 46202(317) 274-3772 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About Stasianne Mallin NPPES

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

STASIANNE MALLIN (NPI 1942046925) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942046925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTASIANNE MALLIN
Location Address635 BARNHILL DR RM 112Indianapolis, IN 46202-5126
Mailing Address635 Barnhill Dr Rm 112Indianapolis, IN 46202-5126 · (317) 274-3772
Phone(317) 274-3772
Sole ProprietorNo
Enumeration DateJuly 8, 2024
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1942046925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
635 BARNHILL DR RM 112, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stasianne Mallin 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.

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.

ROBERT J BRENNER
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR RM 112
INDIANAPOLIS, IN 46202
Marion County (317) 274-3772
SOUMYA GUPTA
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR RM 112
INDIANAPOLIS, IN 46202
Marion County (317) 274-3772
CADEN RUSSELL TUINSTRA
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR RM 112
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
HANNAH OLIVIA DAVIS
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR RM 112
INDIANAPOLIS, IN 46202
Marion County (317) 274-3772
KAYLEE SORRELLS
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR RM 112
INDIANAPOLIS, IN 46202
Marion County (317) 274-3772

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 Stasianne Mallin's NPI number?

The NPI number for Stasianne Mallin is 1942046925. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Stasianne Mallin located?

Stasianne Mallin practices at 635 Barnhill Dr Rm 112, Indianapolis, IN 46202. The listed phone number is (317) 274-3772.

What is Stasianne Mallin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stasianne Mallin enrolled in Medicare?

Yes. Stasianne Mallin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stasianne Mallin was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.