Rachel N Bertram, FNP
Individual provider Active NPI Family Nurse Practitioner · Evansville, IN
NPI 1104494962 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1104494962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71011529A (IN)
- Practice address
- 520 Mary St Ste 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Evansville Radiology PC
Evansville Surgical Associates Inc
Practice addresses (Care Compare)
350 W Columbia St
Suite 420
Evansville, IN 47710-1782
Phone (812) 422-3254
801 Saint Marys Dr
Suite 200E
Evansville, IN 47714-0518
Phone (812) 424-8231
Hospital & facility affiliations
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.54 of 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 65.72
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909002516 | IN | Practitioner - Nurse Practitioner | 2769888114 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evansville Surgical Associates Inc | Surgery | Current |
Accepting new patients |
| Evansville Radiology PC | Current |
Accepting new patients |
Locations
520 Mary St
Ste 520
Evansville, IN 47710
Phone 8124248231267
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
1125 Professional Blvd
Evansville, IN 47714
Phone (812) 471-4110
801 Saint Marys Dr
Ste 200E
Evansville, IN 47714
Phone 8124248231 ext. 2283
350 W Columbia St
Ste 420
Evansville, IN 47710
Phone (812) 450-5000
520 Mary St
Evansville, IN 47710
Phone (812) 250-0100
4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701
4133 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 250-0200
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011529A | IN | Yes |
Addresses
Primary practice location
520 Mary St Ste 520
Evansville, IN 47710-1682
Mailing address
520 Mary St Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other practice location 1
801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283
Other practice location 2
4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300054851 | Medicaid | IN | |
| 000001580909 | Other | IN | BCBS |
| 71011529 | Other | IN | STATE LICENSE |
| 7100768590 | Medicaid | KY |
Other names
- Ms. Rachel N Cash
Other providers in Evansville, IN
- Julie Rae Berry
- Suzanne Marie Bersch
- Carol Lynn Berseth
- Bertram Chiropractic and Wellness LLC
- Matthew Bertram
- Patricia K Besing
- Elizabeth Bester
- Better Behavioral Indiana LLC
- Better Living Home Health Care, Inc.
- Morgan Betz
All providers in Evansville, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.