Individual provider Active NPI

Deborah L Tapp, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1194206789
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008416A Issued in IN
Practice address
700 Kimber LN
Evansville, IN 47715-2803
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Aug 22, 2018
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3019089 KY
Nurse Practitioner 363L00000X 71008416A IN Primary

Addresses

Primary practice location

700 Kimber LN
Evansville, IN 47715-2803

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

5435 Pearl Dr Ste 4
Evansville, IN 47712-8103
Phone (812) 476-7111

Other practice location 2

2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1316
Phone (812) 476-7111

Other practice location 3

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 4

1025 1st Ave W
Jasper, IN 47546-3217
Phone (812) 476-7111

Other identifiers 2

IdentifierTypeStateIssuer
300019716MedicaidIN
7100594900MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deborah.tapp.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181023000845 IN Practitioner - Nurse Practitioner 9436402328 Reassigns benefits to 2 organizations
I20230911001034 KY Practitioner - Nurse Practitioner 9436402328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone (812) 426-9545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008416AINMDNurse Practitioner
3019089KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Sep 25, 2023 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Sep 25, 2023 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

5435 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (810) 347-6711

700 Kimber Ln
Evansville, IN 47715

1025 1st Ave W
Jasper, IN 47546
Phone (812) 482-6066

4219 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9545

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: deborah.tapp.1@16521.direct.athenahealth.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.

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1194206789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KIMBER LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152803",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5435 Pearl Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128103",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 New Hartford Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031316",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 1st Ave W",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463217",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPP",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3019089",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008416A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019716",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100594900",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah.tapp.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "700 Kimber Ln",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477152803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.