Individual provider Active NPI

Irina Kochersperger, AGACNP

  • Acute Care Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1366918104
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
28191485A Issued in IN
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

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28191485AOtherINSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031000909 IN Practitioner - Nurse Practitioner 2264785765 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neolaila Beauty LLC Gerontology CurrentSince Nov 30, 2025 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.

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

Verify at the official NPI Registry.