Active NPI
Irina Kochersperger, AGACNP
- Acute Care Nurse Practitioner
- Evansville, IN
National Provider Identifier
1366918104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 28191485A
- Practice address
- 5401 Vogel Rd Ste 630
Evansville, IN 47715-7835 - Phone
- (812) 483-7153
- Fax
- (812) 303-4500
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 28191485A | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | 28191485A | IN | Primary |
Addresses
Primary practice location
5401 Vogel Rd Ste 630
Evansville, IN 47715-7835
Mailing address
5401 Vogel Rd Ste 630
Evansville, IN 47715-7835
Phone (812) 483-7153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28191485A | Other | IN | STATE LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neolaila Beauty LLC | Gerontology | Current | Accepting new patients |
Locations
5401 Vogel Rd
Ste 630
Evansville, IN 47715
Phone (812) 475-8466
Organizations & group practices 1
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.
-
- Gerontology Nurse Practitioner
- Evansville, IN
- NPI 1861372989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1366918104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 VOGEL RD STE 630",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157835",
"telephone_number": "812-483-7153",
"fax_number": "812-303-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 VOGEL RD STE 630",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157835",
"telephone_number": "812-483-7153",
"fax_number": "812-303-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHERSPERGER",
"first_name": "IRINA",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "28191485A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "28191485A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "28191485A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.