Donna J Duncan, NP
Individual provider Active NPI Nurse Practitioner · Evansville, IN
NPI 1588043442 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1588043442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71005604A (IN)
- Practice address
- 4506 1St Ave
Evansville, IN 47710-3624 - Phone
- (812) 428-6161
- Fax
- (812) 421-2883
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
2710 Heartland Crossing Blvd
Owensboro, KY 42303-7674
Phone (270) 926-3774
545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818
Hospital & facility affiliations
- Deaconess Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- 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 |
|---|---|---|---|---|
| I20150806011224 | IN | Practitioner - Nurse Practitioner | 8921312760 | Reassigns benefits to 1 organization |
| I20160927001542 | KY | Practitioner - Nurse Practitioner | 8921312760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005604A | IN | MD | Nurse Practitioner |
| 3010621 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, 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 |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Current |
Accepting new patients | |
| Methodist Health, Inc. | Past | Accepting new patients | |
| Deaconess Clinic, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140
Interoperability endpoints
- dduncan80002@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005604A | IN | Yes |
| Nurse Practitioner | 363L00000X | 3010621 | KY |
Addresses
Primary practice location
4506 1St Ave
Evansville, IN 47710-3624
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 428-6161
Other providers in Evansville, IN
- Taylor Renee Dugger
- Shelly Renee Duggins
- Omar M Dukar
- Dion J. Dulay
- Anne H Duncan
- Kylie Nichole Duncan
- Dungarvin Indiana, LLC
- Kathryn Dunigan
- Brittney C Dunn
- Danica Dunn
All providers in Evansville, 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 Sep 6, 2016. 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.