Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Dirksen

Individual provider Family Nurse Practitioner · NPI 1992191738

Stacey Dirksen is a Nurse Practitioner in Greenwood, Indiana. Qualified in 2015, 11 years ago. Practices with St Francis Medical Group LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71005554A (IN)

Record details

NPI number1992191738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Francis Medical Group Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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