STACY D NELSON N.P.
NPI 1962510222
Nurse Practitioner - Family in Munster, IN

Active since August 28, 2006PECOS Enrolled
701 SUPERIOR AVE STE E, MUNSTER, IN 46321(219) 922-7159(219) 922-4020 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Mar 17, 2021, Mar 11, 2019 (3 updates tracked since 2019).

About Stacy D Nelson N.p. NPPES

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

STACY D NELSON N.P. (NPI 1962510222) is an individual family provider in Munster, Indiana, licensed in Indiana (71008745A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cooperstown.

NPPES Registry Identity

NPI1962510222
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY D NELSONCredential: N.P.
Location Address701 SUPERIOR AVE STE EMunster, IN 46321-4038
Mailing AddressPo Box 1261Cooperstown, NY 13326-6261 · (607) 547-3772 · Fax (607) 547-3259
Fax(219) 922-4020
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1962510222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71008745A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 320064 (NY)
701 SUPERIOR AVE STE E, Munster, IN 46321

Secondary Practice Location 1

Location 11 Atwell RdCooperstown, NY 13326-1301 · Phone (607) 547-3772 · Fax (607) 547-3259

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacy D Nelson N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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

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

Nurse Practitioner (Adult Health)
701 SUPERIOR AVE STE E
MUNSTER, IN 46321

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 Stacy Nelson's NPI number?

The NPI number for Stacy Nelson is 1962510222. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Stacy Nelson located?

Stacy Nelson practices at 701 Superior Ave Ste E, Munster, IN 46321. The listed phone number is (219) 922-7159.

What is Stacy Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Nelson enrolled in Medicare?

Yes. Stacy Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Nelson was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.