Mary Ann Wilsbacher, RN, FNP, WHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001653A Issued in IN

Practice address

3838 N 1St Ave
Ste E
Evansville, IN 47710-3326

Phone

(812) 425-3362

Fax

(812) 428-8412

NPI assigned

Jun 16, 2005

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1356346324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477030359",
            "telephone_number": "812-485-1220",
            "fax_number": "812-485-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N 1ST AVE",
            "address_2": "STE E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103326",
            "telephone_number": "812-425-3362",
            "fax_number": "812-428-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSBACHER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Willingham
• Chelsea Willis
• Stephanie Victoria Willis
• Alison Willman
• Melissa Jean Wilm
• Adria Marie Wilson, LCSW
• James M Wilson, R.PH.
• Jean Wilson, LCSW
• Olivia Kimberlin Wilson
• Ralph Stanley Wilson, M.D.

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.