Individual provider Active NPI

Melody Sue Oeth, F.N.P.

  • Family Nurse Practitioner
  • Mount Vernon, IN
National Provider Identifier
1104148634
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28080637A Issued in IN
Practice address
1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone
(812) 838-4891
Fax
(812) 838-6595
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone (812) 838-4891

Hospital & facility affiliations

  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100714001055 IN Practitioner - Nurse Practitioner 2567594310 Practice locations: Mount Vernon, IN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28080637AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Family Medicine LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28080637A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1900 W 4TH St
Mount Vernon, IN 47620-9407

Mailing address

1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone (812) 838-4891

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2012.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1104148634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETH",
        "first_name": "MELODY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28080637A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

Verify at the official NPI Registry.