Active NPI
Andrea Rose Phan, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28184893A
- 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
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 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 425-2646
Hospital & facility affiliations
- Deaconess Hospital Inc
- Gibson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| William J Tuley MD PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
IN, Nurse Practitioner
-
- Rural Health Clinic/Center
- Fort Branch, IN
- NPI 1285880179
-
- Family Medicine Physician
- Oakland City, IN
- NPI 1396040374
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1447862958
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1528214400
-
- Rural Health Clinic/Center
- Morganfield, KY
- NPI 1467027664
-
- Rural Health Clinic/Center
- Sebree, KY
- NPI 1538788443
-
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
-
- Rural Health Clinic/Center
- Dixon, KY
- NPI 1942924766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.