Individual provider Active NPI

Catherine S Mouzin, FNP

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1073587341
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000815 Issued in IN
Practice address
406 N 1St St
Vincennes, IN 47591-1340
Phone
(812) 885-0520
Fax
(812) 885-0517
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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 71000815 IN Primary

Addresses

Primary practice location

406 N 1St St
Vincennes, IN 47591-1340

Mailing address

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 885-0520

Other identifiers 3

IdentifierTypeStateIssuer
200520110MedicaidIN
P00670410OtherINRAILROAD MEDICARE
000000598594OtherINANTHEM

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
I20080519000013 IN Practitioner - Nurse Practitioner 8224107172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000815INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Jan 1, 2011 Accepting new patients
Good Samaritan Hospital CurrentSince Jan 1, 2011 Accepting new patients
Evansville Radiology PC Past Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

520 S 7th St
Unit Er
Vincennes, IN 47591
Phone (812) 885-3292

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

406 N 1st St
Ste I
Vincennes, IN 47591
Phone (812) 885-0881

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

700 Willow St
Ste 202
Vincennes, IN 47591
Phone (812) 885-0520

2005 State St
Ste A
Washington, IN 47501
Phone (812) 254-4650

Interoperability endpoints

  • Direct secure messaging: cmouzin120930@direct.deaconess.com

Organizations & group practices 7

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1073587341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-0520",
            "fax_number": "812-885-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-0520",
            "fax_number": "812-885-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZIN",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200520110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00670410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000598594",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.