Stacy Tabor, NP
NPI 1093579203ActiveIndividual· Nurse Practitioner, Gerontology· Noblesville, IN
Nurse Practitioner, Gerontology (NP) with Lifespan Advanced Care LLC and 1 other group, practicing in Noblesville, Indiana. Their prescriptions cost Medicare Part D more than their services did: $21,711 for 377 claims, against $12,811 paid for services in 2024. Lists Franciscan Health Indianapolis as a hospital affiliation.
Overview
| NPI | 1093579203 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 8, 2024 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 28214801A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 124 |
|---|---|
| Services billed | 213 across 9 procedure codes |
| Paid by Medicare | $12,811 |
Part D prescriptions in 2024
| Prescriptions (claims) | 377 · 412 30-day fills |
|---|---|
| Patients | 86 |
| Total drug cost | $21,711 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Lifespan Advanced Care LLCCarmel, IN · 14 clinicians
- Hospitalist Medicine Physicians of Mississippi-Tcs, Inc.Richmond, IN · 9 clinicians
Hospital affiliation
- Franciscan Health IndianapolisIndianapolis, IN
Other facilities
- Select Home Health Services, IncHome health agency · Carmel, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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