Individual provider Active NPI

Melissa L Attebury, NP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1013200930
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003725A Issued in IN
Practice address
8600 University Blvd RM Hp0091
Evansville, IN 47712-3534
Phone
(812) 465-1250
Fax
(812) 465-7170
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003725A IN Primary

Addresses

Primary practice location

8600 University Blvd RM Hp0091
Evansville, IN 47712-3534

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 465-1250

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000408 IN Practitioner - Nurse Practitioner 7113199159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

8600 University Blvd
RM Hp0091
Evansville, IN 47712-3534
Phone (812) 485-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Deaconess Clinic Inc. Family Current Accepting new patients
Deaconess Clinic Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

8600 University Blvd
Rm HP91
Evansville, IN 47712
Phone (812) 485-1250

1750 Oak Hill Rd
Evansville, IN 47711
Phone (812) 479-1777

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1013200930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-465-1250",
            "fax_number": "812-465-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 UNIVERSITY BLVD RM HP0091",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123534",
            "telephone_number": "812-465-1250",
            "fax_number": "812-465-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBURY",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003725A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.