Individual provider Active NPI

Emily Jo Bobe, FNP-C

  • Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1083170161
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008769A Issued in IN
Practice address
429 Perry St
Vincennes, IN 47591-2127
Phone
(812) 886-4572
Fax
(812) 886-6571
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 71008769A IN Primary

Addresses

Primary practice location

429 Perry St
Vincennes, IN 47591-2127

Mailing address

700 Willow St Ste 203
Vincennes, IN 47591-1029
Phone (812) 886-4572

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
I20190305002330 IN Practitioner - Nurse Practitioner 2567701709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Dermatology LLCGroup PAC ID 6103182258, 2 clinicians

Practice addresses (Care Compare)

1288 N State Rd
Suite 65
Princeton, IN 47670-8667
Phone (812) 886-4572

429 Perry St
Vincennes, IN 47591-2127
Phone (812) 886-4572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.68 of 100Reported as group
Quality
92.28
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008769AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Dermatology LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

1288 N State Road 65
Princeton, IN 47670
Phone (812) 385-2233

429 Perry St
Vincennes, IN 47591
Phone (812) 475-1948

700 Willow St
Ste 203
Vincennes, IN 47591
Phone (812) 882-1000

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.

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1083170161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST STE 203",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911029",
            "telephone_number": "812-886-4572",
            "fax_number": "812-886-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 PERRY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912127",
            "telephone_number": "812-886-4572",
            "fax_number": "812-886-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBE",
        "first_name": "EMILY",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008769A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.