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

Stephanie Ann Fortman, PMHNP

Individual provider Registered Nurse · NPI 1902643729

Stephanie Ann Fortman, PMHNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Mending Minds, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1311 W 96th St
Indianapolis, IN 46260-1191
Phone: (765) 698-8192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71016070A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28268154A (IN)

Record details

NPI number1902643729
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mending Minds, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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