Individual provider Active NPI

Mindi M. Morris, M.D.

  • Dermatology Physician
  • Vincennes, IN
National Provider Identifier
1306022470
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01063852A Issued in IN
Practice address
429 Perry St
Vincennes, IN 47591-2127
Phone
(812) 886-4572
Fax
(812) 886-6571
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01063852A IN Primary

Addresses

Primary practice location

429 Perry St
Vincennes, IN 47591-2127

Mailing address

PO Box 1736
Vincennes, IN 47591-7736
Phone (812) 886-4572

Other identifiers 1

IdentifierTypeStateIssuer
200898480AMedicaidIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000244 IN Practitioner - Dermatology 6406920271 Reassigns benefits to 1 organization
Practice locations: Vincennes, IN

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Dermatology LLCGroup PAC ID 6103182258, 2 clinicians

Practice addresses (Care Compare)

1288 N State Rd
Suite 65
Princeton, IN 47670-8667
Phone (812) 886-4572

429 Perry St
Vincennes, IN 47591-2127
Phone (812) 886-4572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.68 of 100Reported as group
Quality
92.28
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision88
Removal of skin lesions1373
Removal or shaving of skin growth48
Skin biopsy164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063852AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Dermatology LLC Dermatology CurrentSince Jan 2, 2018 Accepting new patients

Locations

1288 N State Road 65
Princeton, IN 47670
Phone (812) 385-2233

429 Perry St
Vincennes, IN 47591
Phone (812) 475-1948

700 Willow St
Ste 203
Vincennes, IN 47591
Phone (812) 882-1000

Organizations & group practices 1

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 9

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1306022470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1736",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475917736",
            "telephone_number": "812-886-4572",
            "fax_number": "812-886-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 PERRY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912127",
            "telephone_number": "812-886-4572",
            "fax_number": "812-886-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MINDI",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01063852A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200898480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.