MEDSTAT LLC
NPI 1942388368
Family Medicine in Warsaw, IN

Active since November 02, 2006
1500 PROVIDENT DR, SUITE A, WARSAW, IN 46580(574) 372-7637(574) 372-7655 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2025, Oct 1, 2024, Nov 6, 2023 (3 updates tracked since 2023).

About Medstat Llc NPPES

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

MEDSTAT LLC (NPI 1942388368) is a healthcare organization registered as a family medicine in Warsaw, Indiana and active in the NPI registry since November 2006. The organization lists Kristina Music, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1942388368
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDSTAT LLC
Location Address1500 PROVIDENT DR, SUITE AWarsaw, IN 46580-3291
Mailing Address1500 Provident Dr, Suite AWarsaw, IN 46580-3291 · (574) 372-7637 · Fax (574) 372-7655
Fax(574) 372-7655
Organization SubpartNo
Authorized OfficialKristina MusicDirector Of Provider Enrollment · (877) 892-9815
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1942388368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedSurgeryTaxonomy 208600000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1500 PROVIDENT DR, Warsaw, IN 46580

Other Identifiers 1

Medicaid200074860IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medstat Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040817001482Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Medstat LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Family Practice
NPI 1447216965
1500 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 372-7637
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467251496
1500 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 372-7637
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528763927
1500 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 372-7637
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306867940
1500 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 372-7637
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609819606
1210 PROVIDENT DRIVE STE B
Warsaw, IN 46580
(574) 268-4300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1952534943
1205 PROVIDENT DRIVE SUITE A
Warsaw, IN 46580
(574) 269-8383
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1831151869
2235 DUBOIS DRIVE NULL
Warsaw, IN 46580
(574) 371-2625
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1851902621
1355 MARINERS DR
Warsaw, IN 46582
(574) 372-0040
✔ PECOS0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medstat LLC's NPI number?

The NPI number for Medstat LLC is 1942388368. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Medstat LLC located?

Medstat LLC is located at 1500 Provident Dr Suite A, Warsaw, IN 46580. The listed phone number is (574) 372-7637.

What is Medstat LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medstat LLC enrolled in Medicare?

Yes. Medstat LLC is registered in the Medicare PECOS enrollment system.

When is Medstat LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Medstat LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Medstat LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (3). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medstat LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Medstat LLC 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 Medstat LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.