Stacy Tabor, NP in Noblesville, IN - Medicare Nurse Practitioner

Stacy Tabor, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Noblesville, Indiana. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proactive Clinical Partners - Aco, Proactive Clinical Partners and her current practice location is 1667 Sheridan Rd, Noblesville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 770-3400.

Stacy Tabor is licensed to practice in Indiana (license number 28214801A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093579203.

Contact Information

	Stacy Tabor, NP
	1667 Sheridan Rd, Noblesville, IN 46062-8723
	(317) 770-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Tabor
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1667 Sheridan Rd, Noblesville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy Tabor graduated from nursing school in 2023

NPI Data:

NPI Number: 1093579203
Provider Enumeration Date: 02/08/2024
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 1850736604
Enrollment ID: I20240301003694

Medical Identifiers

Medical identifiers for Stacy Tabor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093579203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	28214801A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proactive Clinical Partners - Aco	5890154884	22
Proactive Clinical Partners	8527315852	27

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. Stacy Tabor allows following entities to bill medicare on her behalf.

Entity Name	Proactive Clinical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366934242 PECOS PAC ID: 8527315852 Enrollment ID: O20180718001740

Entity Name	Proactive Clinical Partners - Aco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821709031 PECOS PAC ID: 5890154884 Enrollment ID: O20230710000733

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. Stacy Tabor 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
Stacy Tabor, NP 11313 Usa Pkwy Ste E145, Fishers, IN 46037-9208 Ph: (317) 781-4500	Stacy Tabor, NP 1667 Sheridan Rd, Noblesville, IN 46062-8723 Ph: (317) 770-3400

Reviews and Comments

Nurse Practitioner Nurses in Noblesville, IN

Heather Lynn Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18051 River Rd Ste 105, Noblesville, IN 46062 Phone: 317-570-7900 Fax: 317-570-2286
Kaitlyn Nicole Dervenis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 493 Westfield Rd, Noblesville, IN 46060 Phone: 317-848-0361
Krista M Spalding, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Westfield Rd Ste 114, Noblesville, IN 46060 Phone: 317-770-2937 Fax: 317-770-2938
Jacqueline L Seacat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Westfield Rd, Noblesville, IN 46062 Phone: 317-776-3854 Fax: 317-776-3854
Tracy A Donahue, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14540 Prairie Lakes Blvd N, Suite 207, Noblesville, IN 46060 Phone: 317-621-2455 Fax: 317-355-6166
Ashley Renee Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 Westfield Rd Ste D, Noblesville, IN 46062 Phone: 317-776-3851 Fax: 317-776-3854

Stacy Tabor, NP - Medicare Nurse Practitioner in Noblesville, IN