Caroline Coughlin, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

71009952A Issued in IN

Practice address

3699 Epworth Rd
Newburgh, IN 47630-8909

Phone

(812) 471-1200

NPI assigned

Apr 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• St. Mary'S Health, Inc

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Therapy Associates Inc

  • Radiation Oncology Physician
  • Evansville, IN
  • NPI 1205885316

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Tri-State Radiation Oncology Centers LLC

  • Radiation Oncology Clinic/Center
  • Evansville, IN
  • NPI 1225274244

  IN

  Medicare reassignment NPD
• St Marys Health Inc

  • Community/Retail Pharmacy
  • Newburgh, IN
  • NPI 1366082695
  Care Compare group
• St Marys Health Inc

  • Diagnostic Radiology Physician
  • Newburgh, IN
  • NPI 1548661077
  Care Compare group
• St Marys Health Inc

  • Physiological Laboratory
  • Newburgh, IN
  • NPI 1730717331
  Care Compare group
• St Marys Health, Inc.

  • Psychiatric Hospital Unit
  • Evansville, IN
  • NPI 1285732933
  Care Compare group
• St. Mary'S Health, Inc

  • Physiological Laboratory
  • Evansville, IN
  • NPI 1558819599
  Care Compare group
• St. Mary'S Health, Inc

  • Physiological Laboratory
  • Evansville, IN
  • NPI 1851842496
  Care Compare group
• St. Mary'S Health, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Newburgh, IN
  • NPI 1215332309
  Care Compare group
• St. Mary'S Health, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957
  Care Compare group

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427

  Hospital

  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642

  Hospital

  Care Compare affiliation
• St. Mary'S Health, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1184243289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 EPWORTH RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 EPWORTH RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308909",
            "telephone_number": "812-471-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307451",
            "country_code": "US",
            "telephone_number": "812-858-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 N Burkhardt Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152740",
            "country_code": "US",
            "telephone_number": "812-474-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "CAROLINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-07-14",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009952A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71009952A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "71009952A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.niemeier@usoncology.com",
            "affiliation": "N",
            "address_1": "700 N Burkhardt Rd",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477152740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vivian C Cook, M.D.
• Sean Cooley, RBT
• Shannon Copeland
• Samantha A. Cornett, PA
• Lisa Cossey, LCSW
• Tabatha Covington
• Tanya Cowans
• Alicea Cox
• Emiley Cox, LSW
• Jessica M Cox, DO

• All providers in Newburgh, IN
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.