CMS-1500 Box 24J / 33a • NPI
1669183448
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LG0600X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology
Box 32 Service Location & ZIP+4
1111 RONALD REAGAN PKWY, AVON, IN, 46123-7085
✓ 9-Digit EDI 837 ZIP+4 (46123-7085)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669183448 (SARAH KATHLEEN ADRIAN-STEPHENSON, NP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669183448 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SARAH KATHLEEN ADRIAN-STEPHENSON, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology NUCC Code: 363LG0600X (Nurse Practitioner, Gerontology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1111 RONALD REAGAN PKWY, AVON, IN, 46123-7085 |
| Practice Telephone / Fax | Tel: (317) 217-3000 | Fax: (317) 273-5988 |
| Administrative Mailing Address | 250 N SHADELAND AVE, INDIANAPOLIS, IN, 46219-4959 |
| Enumeration & Last Sync | Enumerated: 2022-12-12 | CMS Record Updated: 2025-05-05 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LG0600X)
What Does Taxonomy Code 363LG0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SARAH KATHLEEN ADRIAN-STEPHENSON, NP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207QG0300X — Family Medicine, Geriatric MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: IN | License: 71013279A | Primary: Secondary |
363LA2100X — Nurse Practitioner, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care | State: IN | License: 71013279A | Primary: Secondary |
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: IN | License: 71013279A | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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