Sally Elizabeth Vanwinkle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4233 Gateway Blvd
Newburgh, IN 47630-8900

Phone

(812) 426-9855

Fax

(812) 858-4536

NPI assigned

Apr 15, 2014

Last updated

Jan 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sally Elizabeth Roeder Former name

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carol Ann Goodman MD LLCGroup PAC ID 8628253879, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• The Women's Hospital Hospital, Newburgh, IN, CCN 150149

Merit-based Incentive Payment System (MIPS)

Final score

88.28 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

60.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Carol Ann Goodman MD LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1366747347
  Medicare reassignment Care Compare group
• West Side Family Medicine LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1033194303
  NPD (past)

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

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Deaconess Women's Hospital of Southern Indiana, LLC

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1114023512
  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1588083778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477373868",
            "telephone_number": "812-426-9855",
            "fax_number": "812-858-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308900",
            "telephone_number": "812-426-9855",
            "fax_number": "812-858-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWINKLE",
        "first_name": "SALLY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "ROEDER",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy L Vandergriff, SLP
• Madison Marie Vandergriff, MS, CF-SLP
• Jon Tyler Vandeventer, D.D.S.
• Megan Vandeventer, RBT
• Phuong Vanvleet, N.P.
• Donald D Vaughn, FNP-C
• Rachel Anne Vela, PA-C
• Andrew Frank Venditti, PAC
• Madison Vennekotter
• Nicole Elizabeth Vickers, MS, CCC-SLP

• Physician Assistant in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.