Alexandria Jo Carie-Kroeger, NP
Individual provider Active NPI Nurse Practitioner · Petersburg, IN
NPI 1578081345 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1578081345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 00000000000000000 (IN)
- Practice address
- 106 W Pike Ave
Petersburg, IN 47567-8750 - Phone
- (812) 354-1052
- Fax
- (812) 354-8280
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Recover Together Inc
Deaconess Clinic Inc
Practice addresses (Care Compare)
100 Cherry Tree PLZ
Suite B
Washington, IN 47501-4539
Phone (800) 683-8313
1004 E Illinois St
Petersburg, IN 47567-8068
Phone (812) 354-1052
1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226
1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187
1430 N Gardner St
Scottsburg, IN 47170-8720
Phone (800) 683-8313
1528 NW 5TH St
Suite 100
Richmond, IN 47374-1844
Phone (800) 683-8313
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
590 Ironwood Dr
Franklin, IN 46131-7070
Phone (800) 683-8313
600 S State Rd
Suite 57
Washington, IN 47501-4371
Phone (812) 257-1052
730 College Ave
Vincennes, IN 47591-3157
Phone (800) 683-8313
Hospital & facility affiliations
- Deaconess Hospital Inc
- Gibson General Hospital
- Memorial Hospital and Health Care Center
- The Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010001053 | IN | Practitioner - Nurse Practitioner | 2961777461 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000 | IN | MD | Nurse Practitioner |
| 71007510A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Hospital Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Hospital, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Hospital, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
1004 E Illinois St
Petersburg, IN 47567
Phone (812) 354-1052
106 W Pike Ave
Petersburg, IN 47567
Phone (812) 354-1052
Interoperability endpoints
- acariekroeger167914@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71007510A | IN | |
| Nurse Practitioner | 363L00000X | 00000000000000000 | IN | Yes |
Addresses
Primary practice location
106 W Pike Ave
Petersburg, IN 47567-8750
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815
Other providers in Petersburg, IN
- Bonnie Abell
- Renee T Abrassant Ramsey
- Shania Louise Brewster
- Sharon Lynn Cannon
- CRS Optical PC
- Daviess County Hospital
- Deaconess Clinic, Inc
- Deaconess Hospital, Inc
- Deaconess Memorial Medical Center Inc
All providers in Petersburg, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.