Individual provider Active NPI

Vanessa M Mischler, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1104508993
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014451A Issued in IN
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20231205001465 IN Practitioner - Nurse Practitioner 6103274980 Reassigns benefits to 2 organizations

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
Dermatology Associates of Indy LLCGroup PAC ID 1658697453, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Indy LLC Dermatology CurrentSince Oct 22, 2023 Accepting new patients
Dermatology Associates of Indy LLC Dermatology CurrentSince Oct 22, 2023 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.

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

Verify at the official NPI Registry.