Individual provider Active NPI

Victoria Neuses

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon, IN
National Provider Identifier
1073995536
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012862A Issued in IN
Practice address
6845 E US Highway 36 Ste 500
Avon, IN 46123-9781
Phone
(317) 742-1340
Fax
(317) 203-1066
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71012862A IN Primary

Addresses

Primary practice location

6845 E US Highway 36 Ste 500
Avon, IN 46123-9781

Mailing address

6845 E US Highway 36 Ste 500
Avon, IN 46123-9781
Phone (847) 548-9425

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
I20220818003631 IN Practitioner - Nurse Practitioner 2961885249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

6845 E US Hwy 36
Suite 500
Avon, IN 46123-9781
Phone (317) 742-1340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012862AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

6845 E US Highway 36
Ste 500
Avon, IN 46123
Phone (317) 742-1340

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10801 N Michigan Rd
Ste 240
Zionsville, IN 46077
Phone (317) 558-0630

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.victorianeuses@140099.advancedmd-direct.com

Organizations & group practices 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1073995536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 E US HIGHWAY 36 STE 500",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239781",
            "telephone_number": "847-548-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 E US HIGHWAY 36 STE 500",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239781",
            "telephone_number": "317-742-1340",
            "fax_number": "317-203-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSES",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.