Individual provider Active NPI

Patricia M Vaughn, ACNP-BC

  • Acute Care Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1417905647
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71002099A Issued in IN
Practice address
10590 N Meridian St
Carmel, IN 46290-1028
Phone
(317) 338-6666
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71002099A IN Primary

Addresses

Primary practice location

10590 N Meridian St
Carmel, IN 46290-1028

Mailing address

10590 N Meridian St
Carmel, IN 46290-1028

Other practice location 1

8333 Naab Rd Ste 400
Indianapolis, IN 46260
Phone (317) 338-6666

Other identifiers 1

IdentifierTypeStateIssuer
200457560MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.vaughn.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20060420000034 IN Practitioner - Nurse Practitioner 8325057227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002099AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Care Group LLC Past Accepting new patients

Locations

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
Ste 400
Indianapolis, IN 46260

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

Organizations & group practices 5

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 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1417905647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-338-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 Naab Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46260",
            "country_code": "US",
            "telephone_number": "317-338-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71002099A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200457560",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.vaughn.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "10590 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462901028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.