NPPES file of Aug 9, 2026

Medstat LLC in Warsaw, IN

This location of Medstat bills under NPI 1942388368, an organization record issued on Nov 2, 2006 with the primary taxonomy Family Medicine Physician. It is one of 8 NPIs registered under this name and one of 4 in Warsaw; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1942388368
Legal name
Medstat LLC
Entity
Type 2 · organization
Primary taxonomy
Family Medicine Physician 207Q00000X
Practice location
1500 PROVIDENT DR SUITE A, Warsaw, IN 46580
Phone
574-372-7637
Enumerated
Nov 2, 2006
Record updated
Jul 9, 2025
Authorized official
Director Of Provider Enrollment (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other 3 Warsaw NPIs

  1. Medstat1500 PROVIDENT DR · issued Jun 5, 20081841459880
  2. Medstat1500 PROVIDENT DR SUITE A · issued Dec 5, 20141902204076
  3. Medstat LLC1500 PROVIDENT DR STE A · issued Jun 19, 20171437689783

3 clinicians CMS lists with Medstat in Warsaw

  1. Jena Gould, NPFamily Nurse Practitioner1952534943
  2. Jesse Kooistra, FNPFamily Nurse Practitioner1467251496
  3. Amie Roberts, FNP-CFamily Nurse Practitioner1528763927

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 8 Medstat NPIs

Every location registered under this name, in 5 cities.

See every location

Checking an organization

  1. Confirm the business with the Indiana secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207P00000X Emergency Medicine Physician
  • 207Q00000X Family Medicine Physician
  • 207R00000X Internal Medicine Physician
  • 207RH0003X Hematology & Oncology Physician
  • 207X00000X Orthopaedic Surgery Physician
  • 208000000X Pediatrics Physician
  • 208100000X Physical Medicine & Rehabilitation Physician
  • 2083X0100X Occupational Medicine Physician
  • 208600000X Surgery Physician
  • 208C00000X Colon & Rectal Surgery Physician
  • 363A00000X Physician Assistant
  • 363L00000X Nurse Practitioner
  • 363LF0000X Family Nurse Practitioner

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Warsaw NPI should I use?

Ask the office which NPI it bills under; all 4 Warsaw NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.