Individual provider Active NPI

Virginia L Nisbet, NP-C

  • Adult Health Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1053441444
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3004801 Issued in KY
Practice address
443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone
(812) 288-8360
Fax
(812) 288-8375
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3004801 KY
Nurse Practitioner 363L00000X 71001582A IN
Adult Health Nurse Practitioner 363LA2200X 3004801 KY Primary

Addresses

Primary practice location

443 Spring St Ste 200
Jeffersonville, IN 47130-4494

Mailing address

443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other practice location 1

443 Spring St Ste 301
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other identifiers 2

IdentifierTypeStateIssuer
7100146310MedicaidKY
200432900MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060503000688 IN Practitioner - Nurse Practitioner 7416967575 Reassigns benefits to 1 organization
I20101203001136 KY Practitioner - Nurse Practitioner 7416967575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louisville Geriatric AssociatesGroup PAC ID 1557380086, shared by 2 NPIs, 8 clinicians
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians

Practice addresses (Care Compare)

1015 Magazine St
Louisville, KY 40203-2017
Phone (812) 288-8360

2125 State St
New Albany, IN 47150-4972

443 Spring St
Suite 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Clarksville, IN, CCN 157584
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as group
Quality
95.65
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001582AINMDNurse Practitioner
3004801KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Geriatric Associates Nurse Practitioner CurrentSince Oct 4, 2010 Accepting new patients
Louisville Geriatric Associates Nurse Practitioner CurrentSince Oct 4, 2010 Accepting new patients
Nandalal Yepuri Scottsburg LLC Past Accepting new patients

Locations

443 Spring St
Ste 301
Jeffersonville, IN 47130

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

1015 Magazine St
Louisville, KY 40203
Phone (502) 589-0727

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

Interoperability endpoints

  • Direct secure messaging: virginia.nisbet.1@8360.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1053441444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Spring St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471304494",
            "country_code": "US",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISBET",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004801",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001582A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3004801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100146310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200432900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.