Active NPI
Vernon Maes, D.O.
- Obstetrics & Gynecology Physician
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 02002380A
- Practice address
- 1111 Lighthouse Lane
Goshen, IN 46526-3824 - Phone
- (574) 533-0348
- Fax
- (574) 533-0277
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 6068 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | 02002380A | IN | Primary |
Addresses
Primary practice location
1111 Lighthouse Lane
Goshen, IN 46526-3824
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
49 Cleveland St Ste 340
Crossville, TN 38555-2854
Phone (931) 459-7911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200354410 | Medicaid | IN | |
| Q108996 | Medicaid | TN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | vmaes9683@Direct.Parkviewexchange.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 Hospital Loop
Belcourt, ND 58316-7712
453 Spring Creek LN
Lebanon, TN 37090-7171
49 Cleveland St
Suite 340
Crossville, TN 38555-2854
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002380A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Fort Sanders Perinatal Center | Current | Accepting new patients |
Locations
1300 Hospital Loop
Belcourt, ND 58316
4100 W 150th St
#3
Cleveland, OH 44135
49 Cleveland St
Ste 320
Crossville, TN 38555
Phone (931) 456-5331
49 Cleveland St
Ste 340
Crossville, TN 38555
Phone (931) 459-7911
501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020
Dept 888247
Knoxville, TN 37995
Interoperability endpoints
- vmaes9683@direct.parkviewexchange.com
Organizations & group practices 2
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.
-
- Maternal & Fetal Medicine Physician
- Knoxville, TN
- NPI 1003811381
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1366436172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LIGHTHOUSE LANE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465263824",
"telephone_number": "574-533-0348",
"fax_number": "574-533-0277"
}
],
"practiceLocations": [
{
"address_1": "49 Cleveland St Ste 340",
"address_purpose": "LOCATION",
"city": "Crossville",
"state": "TN",
"postal_code": "385552854",
"country_code": "US",
"telephone_number": "931-459-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAES",
"first_name": "VERNON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "6068",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "02002380A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200354410",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q108996",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1111 Lighthouse Lane",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465263824",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1111 Lighthouse Lane",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465263824",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmaes9683@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "1111 Lighthouse Lane",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465263824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.