MARK STICE
NPI 1962062406
Emergency Medicine in Indianapolis, IN
About Mark Stice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK STICE (NPI 1962062406) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (01089719A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of University Of Minnesota Medical School (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Mark Stice 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Stice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85747
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Mark Stice's NPI number?
The NPI number for Mark Stice is 1962062406. It was assigned to this individual provider in the NPPES registry on June 17, 2019.
Where is Mark Stice located?
Mark Stice practices at 1120 W Michigan St # Cl285, Indianapolis, IN 46202. The listed phone number is (317) 278-0042.
What is Mark Stice's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Stice enrolled in Medicare?
Yes. Mark Stice 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 Mark Stice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stice reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). 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 Mark Stice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Stice accept?
Health plans from Oscar Health Plan, Inc. list Mark Stice 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 Mark Stice was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mark Stice · NPI 1962062406
Emergency Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1962062406 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01089719A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W MICHIGAN ST # CL285, Indianapolis, IN 46202-5209
- **Phone:** (317) 278-0042
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner-University Medical Group (NPI 1508673682, Tucson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2019
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962062406) · Data from the CMS NPPES public registry.