Individual provider Active NPI

Trisha A Stuckey, F.N.P

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1467404418
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002093A Issued in IN
Practice address
1101 Professional Blvd
Evansville, IN 47714-8016
Phone
(812) 477-7246
Fax
(812) 422-2421
NPI assigned
May 17, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 71002093A IN Primary

Addresses

Primary practice location

1101 Professional Blvd
Evansville, IN 47714-8016

Mailing address

900 Tutor LN
Ste 102
Evansville, IN 47715-7295
Phone (812) 477-7246

Other practice location 1

1813 Willow St # 3B
Vincennes, IN 47591-4276
Phone (812) 477-7246

Other identifiers 1

IdentifierTypeStateIssuer
300004557MedicaidIN

Other names 1

  • Trisha A Goodge Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.healthfusion.com

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
I20060929000217 IN Practitioner - Nurse Practitioner 4082619861 Reassigns benefits to 2 organizations

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
Nuyou Therapies, LLCGroup PAC ID 4587093034, 2 clinicians

Practice addresses (Care Compare)

900 Tutor LN
Suite 102
Evansville, IN 47715-7295
Phone (812) 465-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002093AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Healthcare Group LLC CurrentSince Aug 1, 2023 Accepting new patients
Nuyou Therapies, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

2007 W Franklin St
#A
Evansville, IN 47712

900 Tutor Ln
Ste 102
Evansville, IN 47715
Phone (812) 465-2800

Interoperability endpoints

  • Direct secure messaging: trishas@direct.meditouchehr.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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1467404418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TUTOR LN",
            "address_2": "STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157295",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148016",
            "telephone_number": "812-477-7246",
            "fax_number": "812-422-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Willow St # 3B",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914276",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "TRISHA",
        "middle_name": "A",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002093A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004557",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healthfusion.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "address_1": "1101 Professional Blvd",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477148016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "GOODGE",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.