Individual provider Active NPI

Margaret K Vanderveen, NP

  • Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1013322841
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28215780A Issued in IN
Practice address
12289 Hancock St Ste 34
Carmel, IN 46032-5888
Phone
(317) 815-8950
Fax
(317) 815-8951
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28215780A IN Primary

Addresses

Primary practice location

12289 Hancock St Ste 34
Carmel, IN 46032-5888

Mailing address

12289 Hancock St Ste 34
Carmel, IN 46032-5888
Phone (317) 815-8950

Other names 1

  • Mrs. Katie Witcher Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240516003033 TN Practitioner - Nurse Practitioner 7810113123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health and Wellness PLLCGroup PAC ID 6507122579, 8 clinicians

Practice addresses (Care Compare)

801 E Watauga Ave
Suite 2
Johnson City, TN 37601-4113
Phone (423) 773-9779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28215780AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness PLLC CurrentSince Apr 9, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Jones Chiropractic Clinic PastSince Apr 9, 2024 Accepting new patients

Locations

801 E Watauga Ave
Ste 2
Johnson City, TN 37601
Phone (423) 773-0300

801 E Watauga Ave
#2
Johnson City, TN 37601
Phone (423) 773-9779

Interoperability endpoints

  • Direct secure messaging: margaret.witcher@1370.chartlogic.direct-ci.com

Organizations & group practices 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1013322841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12289 HANCOCK ST STE 34",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325888",
            "telephone_number": "317-815-8950",
            "fax_number": "317-815-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12289 HANCOCK ST STE 34",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325888",
            "telephone_number": "317-815-8950",
            "fax_number": "317-815-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVEEN",
        "first_name": "MARGARET",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28215780A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WITCHER",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.