STACY TABOR (NP) – Gerontology Nurse Practitioner, NPI 1093579203
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for STACY TABOR (NP)
11313 USA PKWY STE E145
FISHERS, IN 460379208
Phone: (317) 781-4500
Type: Mailing
1667 SHERIDAN RD
NOBLESVILLE, IN 460628723
Phone: (317) 770-3400
Type: Location
1250 W 146th St
Westfield, IN 460749870
Phone: (317) 844-5050
Type: Location
1380 E County Line Rd
Indianapolis, IN 462270962
Phone: (317) 885-7050
Type: Location
625 E Water St
Pendleton, IN 460648551
Phone: (765) 778-2384
Type: Location
300 Jh Walker Dr
Pendleton, IN 460648730
Phone: (765) 788-7501
Type: Location
868 S Washington St
Morristown, IN 461619633
Phone: (765) 763-6012
Type: Location
937 Fry Rd
Greenwood, IN 461421820
Phone: (317) 881-3535
Type: Location
326 Country club Dr
New Albany, IN 471504618
Phone: (812) 948-1311
Type: Location
1925 Reeves Rd
Plainfield, IN 461685501
Phone: (317) 838-7070
Type: Location
205 Marine Dr
Anderson, IN 460165937
Phone: (765) 649-4558
Type: Location
1701 McDowell Rd
Evansville, IN 477125431
Phone: (812) 985-9955
Type: Location
621 S Sugar St
Brownstown, IN 472202066
Phone: (812) 358-2504
Type: Location
118 Medical Dr
Carmel, IN 460323323
Phone: (317) 844-4211
Type: Location
725 N Bell Trace Cir
Bloomington, IN 474084408
Phone: (812) 323-2858
Type: Location
11851 Cumberland Rd
Fishers, IN 460378273
Phone: (317) 813-4444
Type: Location
559 W Longest St
Paoli, IN 474549670
Phone: (812) 723-2595
Type: Location
55 Willow St
Nashville, IN 474487013
Phone: (812) 988-6666
Type: Location
1111 Church Ave
Jasper, IN 475463761
Phone: (812) 634-7750
Type: Location
3701 Hodgin Rd
Richmond, IN 473747443
Phone: (765) 939-3701
Type: Location
3525 E Hanna Ave
Indianapolis, IN 462371230
Phone: (317) 788-4261
Fax: (317) 788-4261
Type: Location
1667 Sheridan Rd
Noblesville, IN 460628723
Phone: (317) 770-3400
Type: Location
3154 S State Road 135
Greenwood, IN 461439609
Phone: (317) 535-3344
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240301003694 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46037)
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