Active NPI
Martha L Weinzapfel-Dick, ACNP
- Acute Care Clinical Nurse Specialist
- Evansville, IN
National Provider Identifier
1396988648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 3008090
- Practice address
- 1312 Professional Blvd
Suite 200
Evansville, IN 47714-8007 - Phone
- (812) 491-6419
- Fax
- (812) 491-6465
- NPI assigned
- Apr 16, 2009
- Last updated
- Feb 27, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3008090 | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 71002918A | IN | |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 71002918A | IN | |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 3008090 | KY | Primary |
Addresses
Primary practice location
1312 Professional Blvd
Suite 200
Evansville, IN 47714-8007
Mailing address
1401 Professional Blvd Ste 101
Evansville, IN 47714-8011
Phone (812) 491-6419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200990730 | Medicaid | IN |
Other names 1
- Martha L Dick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1312 Professional Blvd
Evansville, IN 47714-8007
1401 Professional Blvd
Suite 101
Evansville, IN 47714-8011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002918A | IN | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Health, Inc | Past | Accepting new patients |
Interoperability endpoints
- martha.weinzapfel.dick.1@7598.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension St. Vincent Evansville
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1396988648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PROFESSIONAL BLVD STE 101",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148011",
"telephone_number": "812-491-6419",
"fax_number": "812-491-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 PROFESSIONAL BLVD",
"address_2": "SUITE 200",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148007",
"telephone_number": "812-491-6419",
"fax_number": "812-491-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINZAPFEL-DICK",
"first_name": "MARTHA",
"middle_name": "L",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3008090",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71002918A",
"primary": false
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "IN",
"license": "71002918A",
"primary": false
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "KY",
"license": "3008090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200990730",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "DICK",
"middle_name": "L",
"credential": "ACNP",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 27, 2019; 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.