Active NPI
Vanessa M Mischler, NP
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1104508993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71014451A
- Practice address
- 1212 Professional Blvd Ste B
Evansville, IN 47714-8002 - Phone
- (812) 401-9030
- Fax
- (812) 401-9033
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 71014451A | IN | |
| Nurse Practitioner | 363L00000X | 71014451A | IN | Primary |
Addresses
Primary practice location
1212 Professional Blvd Ste B
Evansville, IN 47714-8002
Mailing address
1212 Professional Blvd Ste B
Evansville, IN 47714-8002
Phone (812) 401-9030
Other names 1
- Vanessa M Kern
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Professional Blvd
Suite B
Evansville, IN 47714-8002
Phone (812) 456-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Indy LLC | Dermatology | Current | Accepting new patients |
| Dermatology Associates of Indy LLC | Dermatology | Current | Accepting new patients |
Locations
1212 Professional Blvd
#B
Evansville, IN 47714
Phone (480) 253-8033
6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333
Organizations & group practices 3
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.
-
- Dermatology Physician
- Evansville, IN
- NPI 1962808774
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1669708756
-
- Dermatology Physician
- Greenwood, IN
- NPI 1770959520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1104508993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PROFESSIONAL BLVD STE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148002",
"telephone_number": "812-401-9030",
"fax_number": "812-401-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PROFESSIONAL BLVD STE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148002",
"telephone_number": "812-401-9030",
"fax_number": "812-401-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCHLER",
"first_name": "VANESSA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "71014451A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014451A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "KERN",
"middle_name": "M",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.