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
Mailing address701 E County Line Rd Ste 101, Greenwood, IN 46143-1070

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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