Active NPI
Joshua Eagleson, FNP
- Family Nurse Practitioner
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006302A
- Practice address
- 515 Bayou St
Vincennes, IN 47591-1034 - Phone
- (812) 886-6800
- Fax
- (812) 886-6809
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006302A | IN | Primary |
Addresses
Primary practice location
515 Bayou St
Vincennes, IN 47591-1034
Mailing address
515 Bayou St
Vincennes, IN 47591-1034
Phone (812) 886-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201363680 | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160707002468 | IN | Practitioner - Nurse Practitioner | 2466744628 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virtual Consult MD LLC
Practice addresses (Care Compare)
109 US Hwy 66 E
Suite 151
Tell City, IN 47586-2755
Phone (812) 720-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006302A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Consult MD LLC | Current | Accepting new patients | |
| Better Behavioral Indiana LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1300 Professional Blvd
Evansville, IN 47714
Phone (812) 477-3422
1110 Professional Blvd
#A
Evansville, IN 47714
Phone (845) 397-7787
5444 E Indiana St
Evansville, IN 47715
Phone (812) 435-9099
1222 Professional Blvd
Evansville, IN 47714
Phone (812) 473-7273
8920 Southpointe Dr
Ste D1
Indianapolis, IN 46227
Phone (317) 887-3388
6905 E 96th St
Ste 600
Indianapolis, IN 46250
Phone (317) 577-1990
109 US Highway 66 E
Ste 151
Tell City, IN 47586
Phone (812) 727-4778
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184073249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": [],
"basic": {
"last_name": "EAGLESON",
"first_name": "JOSHUA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006302A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201363680",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.