Individual provider Active NPI

Deetta Kay Vance, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1144664665
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004949A Issued in IN
Practice address
610 E Walnut St Ste a
Evansville, IN 47713-2460
Phone
(844) 999-0019
Fax
(888) 736-6686
NPI assigned
Apr 26, 2013
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28178817A IN
Registered Nurse 163W00000X 2012023980 MO
Hospice Registered Nurse 163WH1000X 120654 KS
Family Nurse Practitioner 363LF0000X 71004949A IN Primary
Family Nurse Practitioner 363LF0000X 2014002636 MO
Family Nurse Practitioner 363LF0000X 5376265111 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28178817A IN

Addresses

Primary practice location

610 E Walnut St Ste a
Evansville, IN 47713-2460

Mailing address

610 E Walnut St Ste a
Evansville, IN 47713-2460
Phone (844) 999-0019

Other names 1

  • Deetta Kay Clouse 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
I20140729001668 IN Practitioner - Nurse Practitioner 1850514621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Management Indiana PCGroup PAC ID 5698027266, 12 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

102 W Poplar St
Greencastle, IN 46135-1636
Phone (888) 365-6271

3701 Washington Ave
Evansville, IN 47714-0544
Phone (210) 615-3483

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28178817AINMDRegistered Nurse
2012023980MOMDRegistered Nurse
120654KSMDHospice Registered Nurse
71004949AINMDFamily Nurse Practitioner
5376265111KSMDFamily Nurse Practitioner
2014002636MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Family CurrentSince Jul 22, 2026 Accepting new patients
Med Management Indiana PC CurrentSince Oct 8, 2025 Accepting new patients
Inhome Connect of Southwest Indiana, LLC CurrentSince Jul 28, 2025 Accepting new patients
Heart to Heart Hospice of Evansville, LLC CurrentSince Aug 3, 2025 Accepting new patients
Thrivepointe Healthhub, LLC. Current Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

1612 Blackiston View Dr
Clarksville, IN 47129
Phone (502) 530-0916

3701 Washington Ave
Evansville, IN 47714
Phone (812) 476-3360

610 E Walnut St
Evansville, IN 47713
Phone (812) 425-0853

610 E Walnut St
Ste A
Evansville, IN 47713
Phone (812) 549-0373

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

181 Kenwood Ave
Ste 10
Oneida, NY 13421

7240 Chase Oaks Blvd
Plano, TX 75025
Phone (972) 517-6300

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

509 Olive Way
Ste 1259
Seattle, WA 98101
Phone (206) 624-5355

Interoperability endpoints

  • Direct secure messaging: dvance6165@ecommunitydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1144664665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E WALNUT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132460",
            "telephone_number": "844-999-0019",
            "fax_number": "888-736-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E WALNUT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132460",
            "telephone_number": "844-999-0019",
            "fax_number": "888-736-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "DEETTA",
        "middle_name": "KAY",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28178817A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012023980",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "KS",
            "license": "120654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004949A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014002636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376265111",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28178817A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEETTA",
            "last_name": "CLOUSE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.