Individual provider Active NPI

David K Maldonado, NP

  • Acute Care Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1336815356
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71011472A Issued in IN
Practice address
519 Harriet St
Evansville, IN 47710-1715
Phone
(812) 450-7720
Fax
(812) 450-7730
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71011472A IN Primary
Nurse Practitioner 363L00000X 71011472A IN

Addresses

Primary practice location

519 Harriet St
Evansville, IN 47710-1715

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-6815

Other practice location 1

4015 Gateway Blvd Ste 2121
Newburgh, IN 47630-8925
Phone (812) 450-7720

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
I20210907001514 IN Practitioner - Nurse Practitioner 1052717618 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
Tri-State Orthopaedic Surgeons IncGroup PAC ID 6800781949, 60 clinicians
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Practice addresses (Care Compare)

2121 Willow St
Vincennes, IN 47591-5355
Phone (812) 477-1558

225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011472AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Nurse Practitioner CurrentSince Mar 17, 2025 Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Aug 30, 2021 Accepting new patients
Orthopaedics-Indianapolis, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Aug 30, 2021 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients

Locations

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

8450 Northwest Blvd
Indianapolis, IN 46278

4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720

4015 Gateway Blvd
Ste 2121
Newburgh, IN 47630
Phone (812) 450-7720

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

Interoperability endpoints

  • Direct secure messaging: dmaldonado@tsos.srs-direct.com

Organizations & group practices 8

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 1

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1336815356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101715",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Gateway Blvd Ste 2121",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308925",
            "country_code": "US",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71011472A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011472A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.