| Stephanie Ann Owen, APRN | |
|
9330 Broadway, Crown Point, IN 46307-9830 | |
| (219) 648-2400 | |
| Not Available |
| Full Name | Stephanie Ann Owen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 9330 Broadway, Crown Point, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184263105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 71009643A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009643A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Indiana Llc | 4880963909 | 60 |
| Aims Llc | 6406126572 | 8 |
| Entity Name | Nwi Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Entity Name | Midwest Express Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
| Entity Name | Aims LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478 |
| Entity Name | Cleanslate Medical Group of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Ann Owen, APRN 1113 Mossy Ln, Mishawaka, IN 46544-9055 Ph: (574) 208-9114 | Stephanie Ann Owen, APRN 9330 Broadway, Crown Point, IN 46307-9830 Ph: (219) 648-2400 |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St # 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 |
Lucia Ann-rebecca Clark, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 N Main St Ste D, Crown Point, IN 46307 Phone: 219-663-4888 Fax: 219-663-4877 |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 |
Faith A Ornelas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11357 Morton Ct, Crown Point, IN 46307 Phone: 219-712-0016 |
Anita D Arthur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 |