Individual provider Active NPI

Deborah Bedwell, APN

  • Family Nurse Practitioner
  • Carlisle, IN
National Provider Identifier
1376901058
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006094A Issued in IN
Practice address
8685 Old Highway 41 South
Carlisle, IN 47838-8234
Phone
(812) 398-5200
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006094A IN Primary

Addresses

Primary practice location

8685 Old Highway 41 South
Carlisle, IN 47838-8234

Mailing address

2229 Mary Sherman Dr
PO Box 230
Sullivan, IN 47882-7633
Phone (812) 268-3318

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
I20160309000281 IN Practitioner - Nurse Practitioner 8820394471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006094AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Multi-Specialty Clinic, PC Family CurrentSince May 1, 2017 Accepting new patients
Evansville Cancer Care, PC CurrentSince May 1, 2017 Accepting new patients
Sullivan County Community Hospital PastSince Jul 18, 2017 Accepting new patients

Locations

6140 E Columbia St
Evansville, IN 47715
Phone (812) 474-1110

Interoperability endpoints

  • Direct secure messaging: deborah.bedwell.1@18319.direct.athenahealth.com

Organizations & group practices 3

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1376901058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 MARY SHERMAN DR",
            "address_2": "PO BOX 230",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827633",
            "telephone_number": "812-268-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 OLD HIGHWAY 41 SOUTH",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "478388234",
            "telephone_number": "812-398-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IN

Sources for this page

Verify at the official NPI Registry.