JULIE R. STACKHOUSE CNM
NPI 1942352802
Nurse Practitioner in Fort Wayne, IN

NPI Status: Active since January 18, 2007

Contact Information

2414 E STATE BLVD
SUITE 101
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-7455
Fax: (260) 422-0086

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  • Individual
  • Female
  • Nurse Practitioner

About JULIE STACKHOUSE

This page provides the complete NPI Profile along with additional information for Julie Stackhouse, a provider established in Fort Wayne, Indiana with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1942352802 assigned on January 2007. The practitioner's primary taxonomy code is 363L00000X with license number 71001177A (IN). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1942352802
Provider Name
JULIE R. STACKHOUSE CNM
Other Name
JULIE R. MITCHENER
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2414 E STATE BLVD SUITE 101 FORT WAYNE, IN 46805
Location Phone
(260) 422-7455
Location Fax
(260) 422-0086
Mailing Address
6920 POINTE INVERNESS WAY STE 200 FORT WAYNE, IN 46804
Mailing Phone
(260) 479-3516
Mailing Fax
(260) 422-0086
Is Sole Proprietor?
No
Enumeration Date
01-18-2007
Last Update Date
01-30-2020
Code Navigator

A nurse practitioner (NP) like Julie Stackhouse is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
71001177A
License State
IN
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

09000127A (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200847020MEDICAID (05)IN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942352802, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 6 + 5 + 4 + 8 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1942352802.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2414 E STATE BLVD, CAREW BUILDING #1, SUITE 201
FORT WAYNE, IN 46805
Social Worker
2414 E STATE BLVD, SUITE 304
FORT WAYNE, IN 46805
Obstetrics & Gynecology
2414 E STATE BLVD, SUITE 101
FORT WAYNE, IN 46805
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2414 E STATE BLVD, CAREW BUILDING
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942352802, enumerated as an "individual" on January 18, 2007.

The provider is located at 2414 E STATE BLVD SUITE 101 FORT WAYNE, IN 46805 and the phone number is (260) 422-7455.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.