Angela Lyke

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28137849A Issued in IN

Practice address

515 Bayou St
Vincennes, IN 47591-1034

Phone

(812) 886-6800

Fax

(812) 886-6809

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Family Health Center Inc 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyke145669@direct.deaconess.com

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.

• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1174031256

  IN

  Medicare reassignment NPD
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1063302545
  NPD
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1033827621
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Loogootee, IN
  • NPI 1124736715
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1518676907
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1629787767
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vincennes, IN
  • NPI 1679282164
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Petersburg, IN
  • NPI 1780392373
  NPD (past)

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

• Good Samaritan Hospital

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1174295083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-3325",
            "fax_number": "812-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800",
            "fax_number": "812-886-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S John F Kennedy Ave",
            "address_purpose": "LOCATION",
            "city": "Loogootee",
            "state": "IN",
            "postal_code": "475531624",
            "country_code": "US",
            "telephone_number": "812-295-3090",
            "fax_number": "812-295-4328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 E Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "IN",
            "postal_code": "475671270",
            "country_code": "US",
            "telephone_number": "812-354-8785",
            "fax_number": "812-354-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Willow St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914277",
            "country_code": "US",
            "telephone_number": "812-885-2720",
            "fax_number": "812-885-2723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-885-3292",
            "fax_number": "812-885-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911066",
            "country_code": "US",
            "telephone_number": "812-885-8530",
            "fax_number": "812-885-8531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Buntin St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911320",
            "country_code": "US",
            "telephone_number": "812-885-2718",
            "fax_number": "812-885-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 State St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475018505",
            "country_code": "US",
            "telephone_number": "812-254-1558",
            "fax_number": "812-885-8308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Washington Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475912240",
            "country_code": "US",
            "telephone_number": "812-494-7500",
            "fax_number": "812-494-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYKE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28137849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Loving-Wilkerson, LCSW
• Hannah Luchtefeld, RBT
• Heather Michele Ludwig Akers
• Luking Family Practice LLC
• Carissa Renae Luking, FNP-C
• Ashley Lynch, LMHC
• M. G. Grundman & Sons Inc
• Kristin A Mahan, MD
• Lexi Major, LSW
• Cary Malczewski, P.A.

• All providers in Vincennes, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.