Individual provider Active NPI

Karen R Brossman Bass, NP-C, APRN-C

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1316915978
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002104A Issued in IN
Practice address
8599 High Pointe Dr
Newburgh, IN 47630
Phone
(812) 842-0370
Fax
(812) 842-0683
NPI assigned
Mar 9, 2006
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002104A IN
Nurse Practitioner 363L00000X 3006301 KY
Family Nurse Practitioner 363LF0000X 3006301 KY
Nurse Practitioner 363L00000X 71002104A IN Primary

Addresses

Primary practice location

8599 High Pointe Dr
Newburgh, IN 47630

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 858-2100

Other identifiers 2

IdentifierTypeStateIssuer
200807870MedicaidIN
7100046440MedicaidKY

Other names 1

  • Ms. Karen R Brossman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060411000817 IN Practitioner - Nurse Practitioner 6709895220 Reassigns benefits to 2 organizations
I20100116000001 KY Practitioner - Nurse Practitioner 6709895220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

340 Starlite Dr
Henderson, KY 42420-6102
Phone (270) 844-8515

545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818

600 W 13TH St
100 Memorial Hospital and Health Care Cente
Jasper, IN 47546-1882
Phone (812) 996-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002104AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince May 30, 2018 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince May 30, 2018 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince May 30, 2018 Accepting new patients
Winslow Medical Center, Inc. Past Accepting new patients
Winslow Community Health Center, Inc. Family Past Accepting new patients
Deaconess Memorial Medical Center Inc PastSince May 1, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner PastSince May 1, 2026 Accepting new patients
Winslow Medical Center, Inc Past Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430

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

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

901 Sweetser Ave
Evansville, IN 47713
Phone (812) 435-0977

10455 Orthopaedic Dr
Newburgh, IN 47630
Phone (812) 858-2100

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

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

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

2242 US Highway 41 N
Ste 2
Henderson, KY 42420

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Interoperability endpoints

  • Direct secure messaging: kbrossman88442@direct.deaconess.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1316915978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 HIGH POINTE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47630",
            "telephone_number": "812-842-0370",
            "fax_number": "812-842-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 Orthopaedic Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307955",
            "country_code": "US",
            "telephone_number": "812-858-2100",
            "fax_number": "812-858-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSSMAN BASS",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NP-C, APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002104A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006301",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002104A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200807870",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100046440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BROSSMAN",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "NP-C, APRN-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.