Staci Jo Middleton, NP in Tipton, IN - Medicare Nurse Practitioner

Staci Jo Middleton, NP is a medicare enrolled "Nurse Practitioner - Family" in Tipton, Indiana. Her current practice location is 1000 S Main St, Suite C, Tipton, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 675-1759.

Staci Jo Middleton is licensed to practice in Indiana (license number 71014901A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942062526.

Contact Information

	Staci Jo Middleton, NP
	1000 S Main St, Suite C, Tipton, IN 46072
	(765) 675-1759
	(765) 675-6704

Map and Direction

Provider's Profile

Full Name	Staci Jo Middleton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1000 S Main St, Tipton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942062526
Provider Enumeration Date: 01/29/2024
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1557708112
Enrollment ID: I20240319002816

Medical Identifiers

Medical identifiers for Staci Jo Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942062526	NPI	-	NPPES
300088236	Medicaid	IN
1103838077	Other	IN	ANTHEM PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014901A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Staci Jo Middleton allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Jo Middleton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Staci Jo Middleton, NP 1000 S Main St, Suite C, Tipton, IN 46072 Ph: (765) 675-1759	Staci Jo Middleton, NP 1000 S Main St, Suite C, Tipton, IN 46072 Ph: (765) 675-1759

Reviews and Comments

Nurse Practitioner Nurses in Tipton, IN

Nicholle M Hise, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Main St, Suite 3, Tipton, IN 46072 Phone: 765-675-7009 Fax: 765-675-3914
Deborah Davidson, MSN, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Fairgrounds Rd, Tipton, IN 46072 Phone: 765-408-0536 Fax: 765-405-0539
Jaime Freeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S Main St Ste 200, Tipton, IN 46072 Phone: 765-675-1400
Erin C Herndon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 S Main St Ste 200, Tipton, IN 46072 Phone: 765-675-1400 Fax: 765-675-1401
Amy Leigh Draper-poe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S. Main Street Suite 200, Tipton, IN 46072 Phone: 765-675-1400 Fax: 765-675-1401
Julie L Brockman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 317-678-3735 Fax: 317-678-3735
Ms. Mary Katherine Mariotti, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5880 W State Road 28, Tipton, IN 46072 Phone: 765-557-6097 Fax: 765-557-6124

Staci Jo Middleton, NP - Medicare Nurse Practitioner in Tipton, IN