Individual provider Active NPI

Jennifer Lynn Becher, ADULT NP

  • Adult Health Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1174730550
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28120546A Issued in IN
Practice address
429 S 6TH St
Vincennes, IN 47591-1022
Phone
(812) 885-3703
Fax
(812) 885-3707
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28120546A IN Primary

Addresses

Primary practice location

429 S 6TH St
Vincennes, IN 47591-1022

Mailing address

429 S 6TH St
Vincennes, IN 47591-1022
Phone (812) 885-3703

Other identifiers 2

IdentifierTypeStateIssuer
210210810MedicaidIN
000000553652OtherINANTHEM BLUE CROSS

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
I20080417000163 IN Practitioner - Nurse Practitioner 8820176712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 Washington Ave
Vincennes, IN 47591-2240
Phone (812) 494-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28120546AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc CurrentSince Dec 17, 2018 Accepting new patients
Good Samaritan Family Health Center, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Nibel General Practice LLC Past Accepting new patients
Nibel GP LLC Past Accepting new patients

Locations

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

429 S 6th St
Vincennes, IN 47591
Phone (812) 882-3280

Interoperability endpoints

  • Direct secure messaging: jbecher166729@direct.deaconess.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1174730550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911022",
            "telephone_number": "812-885-3703",
            "fax_number": "812-885-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911022",
            "telephone_number": "812-885-3703",
            "fax_number": "812-885-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28120546A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210210810",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000553652",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.