Individual provider Active NPI

Patricia Joann Vanderpool, DNP, FNP-BC, ANP-BC

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1356546105
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002447B Issued in IN
Practice address
1516 Washington St
New Castle, IN 47362-4355
Phone
(765) 836-5047
Fax
(765) 591-8171
NPI assigned
Jun 20, 2007
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71002447B IN
Family Nurse Practitioner 363LF0000X 71002447B IN Primary

Addresses

Primary practice location

1516 Washington St
New Castle, IN 47362-4355

Mailing address

1516 Washington St
New Castle, IN 47362-4355
Phone (765) 836-5047

Other identifiers 1

IdentifierTypeStateIssuer
200879950BMedicaidIN

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
I20071005000383 IN Practitioner - Nurse Practitioner 4284729278 Practice locations: New Castle, IN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1516 Washington St
New Castle, IN 47362-4355
Phone (765) 836-5047

975 E Lake Crest Ave
New Castle, IN 47362-9208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002447BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Nancy W. Griffith, M.D. Past Accepting new patients
House Call Home Health Past Accepting new patients
Advanced Healthcare Associates LLP Adult Health Past Accepting new patients

Organizations & group practices 5

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 2

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1356546105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-836-5047",
            "fax_number": "765-591-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-836-5047",
            "fax_number": "765-591-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "PATRICIA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71002447B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002447B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879950B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.