Individual provider Active NPI

Vonetta M Vories, FNP-C

  • Nurse Practitioner
  • Princeton, IN
National Provider Identifier
1205047040
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001190A Issued in IN
Practice address
314 N Main St
Princeton, IN 47670-1514
Phone
(812) 385-1071
Fax
(812) 385-8793
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001190A IN Primary

Addresses

Primary practice location

314 N Main St
Princeton, IN 47670-1514

Mailing address

314 N Main St
Princeton, IN 47670-1514
Phone (812) 385-1071

Other identifiers 4

IdentifierTypeStateIssuer
201092760BOtherINMEDICAID GROUP
258190OtherINGROUP MEDICARE NUMBER
200922190OtherINGROUP MEDICAID NUMBER
200884570MedicaidIN

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
I20110301000395 IN Practitioner - Nurse Practitioner 9638350309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1813 Willow St
Conv Care
Vincennes, IN 47591-4279
Phone (812) 885-8941

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital CurrentSince Jan 17, 2011 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Nurse Practitioner CurrentSince Jan 17, 2011 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients
Frank Bender LLC Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

314 N Main St
Princeton, IN 47670
Phone (812) 385-1071

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

406 N 1st St
Ste J
Vincennes, IN 47591
Phone (812) 882-4694

406 N 1st St
Ste I
Vincennes, IN 47591
Phone (812) 885-0881

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

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 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1205047040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701514",
            "telephone_number": "812-385-1071",
            "fax_number": "812-385-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701514",
            "telephone_number": "812-385-1071",
            "fax_number": "812-385-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORIES",
        "first_name": "VONETTA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001190A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "201092760B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "258190",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "200922190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200884570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.