Individual provider Active NPI

Andrea Rose Phan, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1235883232
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28184893A Issued in IN
Practice address
600 Mary St
Evansville, IN 47710-1658
Phone
(812) 425-2646
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28184893A IN Primary
Nurse Practitioner 363L00000X 28184893A IN

Addresses

Primary practice location

600 Mary St
Evansville, IN 47710-1658

Mailing address

350 W Columbia St
Evansville, IN 47710-1782
Phone (812) 425-2646

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
I20230306001180 IN Practitioner - Nurse Practitioner 4688047046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 425-2646

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince May 12, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jun 21, 2023 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince May 12, 2025 Accepting new patients
William J Tuley MD PC CurrentSince Nov 1, 2022 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients

Locations

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

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

816 N 1st Ave
Evansville, IN 47710
Phone (812) 426-2841

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

1200 Professional Blvd
Evansville, IN 47714
Phone (812) 479-9500

350 W Columbia St
Evansville, IN 47710
Phone (812) 425-2461

350 W Columbia St
Ste 200
Evansville, IN 47710
Phone (812) 425-2646

7145 E 21st St
Indianapolis, IN 46219
Phone (317) 356-0977

2860 Churchman Ave
Indianapolis, IN 46203
Phone (317) 787-3451

2002 W 86th St
Indianapolis, IN 46260
Phone (317) 872-8811

1700 I St
Laporte, IN 46350
Phone (219) 362-6234

1900 Andrew Ave
Laporte, IN 46350
Phone (219) 362-6234

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

609 Tanglewood Ln
Mishawaka, IN 46545
Phone (574) 277-2500

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

309 W Pike Ave
Petersburg, IN 47567
Phone (812) 354-8833

3175 Lancer St
Portage, IN 46368
Phone (219) 762-9571

2330 Straightline Pike
Richmond, IN 47374
Phone (765) 966-7681

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: aphan11509@direct.deaconess.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1235883232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-425-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101658",
            "telephone_number": "812-425-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28184893A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28184893A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.