Active NPI
Elise Renee Schutt, FNP
- Nurse Practitioner
- Newburgh, IN
National Provider Identifier
1215237565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003427A
- Practice address
- 3799 Venetian Way
Newburgh, IN 47630-8278 - Phone
- (812) 471-4302
- Fax
- (812) 471-4303
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71003427A | IN | |
| Nurse Practitioner | 363L00000X | 71003427A | IN | Primary |
Addresses
Primary practice location
3799 Venetian Way
Newburgh, IN 47630-8278
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000841512 | Other | IN | ANTHEM |
| 201146320 | Medicaid | IN | |
| P01263642 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Elise@direct.practicefusion.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3799 Venetian Way
Newburgh, IN 47630-8278
Phone (812) 471-4302
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaza Park Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Kathalene Keller Riney NP LLC | Current | Accepting new patients |
Locations
4943 Rosebud Ln
Newburgh, IN 47630
Phone (812) 471-4302
3799 Venetian Way
Newburgh, IN 47630
Phone (812) 471-4302
Interoperability endpoints
- elise@direct.practicefusion.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Newburgh, IN
- NPI 1336574490
-
- Family Nurse Practitioner
- Evansville, IN
- NPI 1770176117
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Home Health Agency
- Evansville, IN
- NPI 1629787320
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1215237565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3799 VENETIAN WAY",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308278",
"telephone_number": "812-471-4302",
"fax_number": "812-471-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTT",
"first_name": "ELISE",
"middle_name": "RENEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "71003427A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003427A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000841512",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201146320",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01263642",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Elise@direct.practicefusion.com",
"affiliation": "N",
"address_1": "3799 Venetian Way",
"city": "Newburgh",
"state": "IN",
"country_code": "US",
"postal_code": "476308278",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.