Active NPI
Allison Jo Martin, NP
- Nurse Practitioner
- Newburgh, IN
National Provider Identifier
1003527722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71013367A
- Practice address
- 4055 Gateway Blvd
Newburgh, IN 47630-7451 - Phone
- (812) 858-3051
- Fax
- (812) 858-3060
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71013367A | IN | Primary |
Addresses
Primary practice location
4055 Gateway Blvd
Newburgh, IN 47630-7451
Mailing address
PO Box 1230
Evansville, IN 47706-1230
Phone (812) 858-3051
Other names 1
- Allison Jo Vick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221001631 | IN | Practitioner - Nurse Practitioner | 9234509969 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1808 Sherman Dr
Suite 2209
Princeton, IN 47670-1043
Phone (812) 385-9420
Hospital & facility affiliations
- Gibson General Hospital
- Deaconess Hospital Inc
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- Quality
- 72.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.66 of 100
- Quality
- 84.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013367A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Nurse Practitioner | Current | Accepting new patients |
| Gibson General Hospital, Inc | Nurse Practitioner | Current | Accepting new patients |
| Gibson General Hospital, Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720
4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210
1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420
Interoperability endpoints
- amartin50125@direct.deaconess.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
IN, Nurse Practitioner
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
Nurse Practitioner
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1477228534
Nurse Practitioner
-
- Family Medicine Physician
- Princeton, IN
- NPI 1023597713
Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1003527722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1230",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061230",
"telephone_number": "812-858-3051",
"fax_number": "812-858-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307451",
"telephone_number": "812-858-3051",
"fax_number": "812-858-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALLISON",
"middle_name": "JO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71013367A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "VICK",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.