STEPHANIE L TRICE (FNP) – Nurse Practitioner, NPI 1366874273
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for STEPHANIE L TRICE (FNP)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
770 E DUPONT RD
FORT WAYNE, IN 468252056
Phone: (260) 414-9018
Type: Mailing
3978 NEW VISION DR
FORT WAYNE, IN 468451712
Phone: (260) 672-4680
Fax: (260) 458-5836
Type: Location
770 E DuPont Rd
Fort Wayne, IN 468252056
Phone: (260) 414-9018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $778.
Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($153).
Total Amount
$778
General + Research + Ownership
Payments
8
Total payment records
General Amount
$778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-12-27
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 |
|---|---|---|---|---|
| I20131227000161 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 15 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | 14 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | ME | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | WV | |
| Anesthesiology, Pain Management | CA | |
| Osteopathic Manipulative Medicine | ME | |
| Emergency Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | KY |
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