Stephanie Ann Clouse, NP-C - Medicare Nurse Practitioner in Fort Wayne, IN

Stephanie Ann Clouse, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 7910 W Jefferson Blvd Ste 120, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 435-7612.

Stephanie Ann Clouse is licensed to practice in Indiana (license number 71007750A) 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 1003314246.

Contact Information

Stephanie Ann Clouse, NP-C
7910 W Jefferson Blvd Ste 120,
Fort Wayne, IN 46804-4159
(260) 435-7612
(260) 435-7672

Map and Direction




Provider's Profile

Full NameStephanie Ann Clouse
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location7910 W Jefferson Blvd Ste 120, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Ann Clouse graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1003314246
  • Provider Enumeration Date: 01/23/2018
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1658631171
  • Enrollment ID: I20180201000808

Medical Identifiers

Medical identifiers for Stephanie Ann Clouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003314246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71007750A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Medical Group Llc4981751617264

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. Stephanie Ann Clouse allows following entities to bill medicare on her behalf.
Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705
Entity NameSound Physicians Of Indiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528311149
PECOS PAC ID: 4981841780
Enrollment ID: O20130515000624
Entity NameHospitalist Medicine Physicians Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720416555
PECOS PAC ID: 7719119965
Enrollment ID: O20140422001842

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. Stephanie Ann Clouse 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 AddressPractice Location Address
Stephanie Ann Clouse, NP-C
6920 Pointe Inverness Way Ste 200,
Fort Wayne, IN 46804-7934

Ph: (260) 479-3514
Stephanie Ann Clouse, NP-C
7910 W Jefferson Blvd Ste 120,
Fort Wayne, IN 46804-4159

Ph: (260) 435-7612

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.