Active NPI
Karen Barnes-Ellis, APN
- Pediatric Nurse Practitioner
- Evansville, IN
National Provider Identifier
1376598409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71000074A
- Practice address
- 25 W Division St
Evansville, IN 47710-1374 - Phone
- (812) 436-4501
- Fax
- (812) 436-4510
- NPI assigned
- May 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 71000074A | IN | Primary |
Addresses
Primary practice location
25 W Division St
Evansville, IN 47710-1374
Mailing address
315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000488313 | Other | IN | ANTHEM PIN |
| 200079040D | Other | IN | MEDICAID GROUP |
| 237890 | Other | IN | MEDICARE GROUP |
| 000000864712 | Other | IN | BCBS |
| 65945420 | Other | KY | MEDICAID GROUP |
| 200512220 | Medicaid | IN | |
| 200829650D | Other | IN | MEDICAID GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbarnesellis70081@direct.deaconess.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000074A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echo Community Health Care, Inc. | Current | Accepting new patients |
Locations
315 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489
25 W Division St
Evansville, IN 47710
Phone (812) 436-0205
Interoperability endpoints
- kbarnesellis70081@direct.deaconess.com
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.
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1912906850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1376598409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489",
"fax_number": "812-436-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W DIVISION ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101374",
"telephone_number": "812-436-4501",
"fax_number": "812-436-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES-ELLIS",
"first_name": "KAREN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71000074A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000488313",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200079040D",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "237890",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000864712",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "65945420",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200512220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200829650D",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbarnesellis70081@direct.deaconess.com",
"affiliation": "N",
"endpointDescription": "ECHO Community Healthcare, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "25 W Division St",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477101374",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 2021; 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.