Individual provider Active NPI

Bailee Lamberson, PA-C

  • Physician Assistant
  • Newburgh, IN
National Provider Identifier
1417696014
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003757A Issued in IN
Practice address
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone
(812) 842-2000
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10003757A IN Primary

Addresses

Primary practice location

4011 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

4011 Gateway Blvd
Newburgh, IN 47630-8947

Other practice location 1

500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924
Phone (812) 918-5907

Other identifiers 1

IdentifierTypeStateIssuer
1198064OtherINNCCPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blamberson@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221109001659 IN Practitioner - Physician Assistant 4587031240 Reassigns benefits to 1 organization
I20221121001013 KY Practitioner - Physician Assistant 4587031240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Health Urgent Care Centers LLCGroup PAC ID 0042526063, 93 clinicians

Practice addresses (Care Compare)

222 W Michigan St
Iu Health Urgent Care LLC Downtow
Indianapolis, IN 46204-1254
Phone (225) 214-9352

90 E Garner Rd
Iu Health Urgent Care LLC
Brownsburg, IN 46112-9359
Phone (225) 214-1031

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Physician Assistant CurrentSince Sep 15, 2022 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Clinc Inc Physician Assistant CurrentSince Sep 26, 2022 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Clinic, Inc CurrentSince Sep 15, 2022 Accepting new patients

Locations

500 S Liberty Dr
Ste 482
Bloomington, IN 47403
Phone (812) 353-3443

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1417696014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-842-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Liberty Dr Ste 482",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474031924",
            "country_code": "US",
            "telephone_number": "812-918-5907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERSON",
        "first_name": "BAILEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003757A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1198064",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blamberson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 S Liberty Dr Ste 482",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474031924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.