STEPHANIE M ANDREE (NP) – Nurse Practitioner, NPI 1104269166

STEPHANIE M ANDREE (NP) is a healthcare provider. based in Michigan city, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71004379A (IN). The NPI Number for STEPHANIE M ANDREE (NP) is 1104269166

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE M ANDREE (NP)
NPI
1104269166
Phone
(219) 809-9839
Address
10176 W 400 N
Enumeration Date
9 April 2013
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
6800020710
Group Practice PAC ID
8628975562
Professional Enrollment ID
I20131009000194
Address ID
IN464106248Me400XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for STEPHANIE M ANDREE (NP)

  • 10176 W 400 N

    Michigan City, IN 463609008

    Phone: (219) 809-9839

    Type: Location

  • 400 W 84TH DR

    MERRILLVILLE, IN 464106248

    Phone: (219) 769-8641

    Type: Location

  • 601 Gateway Blvd N

    Chesterton, IN 463049658

    Phone: (219) 921-1444

    Type: Location

  • 601 GATEWAY BLVD N

    CHESTERTON, IN 463049658

    Phone: (219) 921-1444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $453.

Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Axonics, Inc. ($126).

Total Amount

$453

General + Research + Ownership

Payments

17

Total payment records

General Amount

$453

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131009000194INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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 46360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628975562View full group profile
NameSpecialtyState
Nurse PractitionerIN
U R O L O G YMI
U R O L O G YIN
U R O L O G YIN
U R O L O G YIL
U R O L O G YIN
U R O L O G YIN
Nurse PractitionerIL
U R O L O G YIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE M ANDREE (NP) in the U.S.?
In the U.S., STEPHANIE M ANDREE (NP) is identified by NPI 1104269166.
Should I treat STEPHANIE M ANDREE (NP) as an active provider?
Patients and plans typically see STEPHANIE M ANDREE (NP) as active in the national extract.
What does the directory say STEPHANIE M ANDREE (NP) does?
Insurance directories may phrase it differently, but here STEPHANIE M ANDREE (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to STEPHANIE M ANDREE (NP)?
The directory associates STEPHANIE M ANDREE (NP) with Michigan City, Indiana. Check all listed addresses for suites or satellite offices.
Can I export STEPHANIE M ANDREE (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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