Individual provider Active NPI

Jessica L Tameler, PA

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1609384437
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003299A Issued in IN
Practice address
350 W Columbia St Ste 310
Evansville, IN 47710-1782
Phone
(812) 464-9133
Fax
(812) 464-0559
NPI assigned
Jan 15, 2018
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC688 KY
Physician Assistant 363A00000X PA2335 KY
Physician Assistant 363A00000X 10003299A IN Primary
Surgical Physician Assistant 363AS0400X 001008943 NC

Addresses

Primary practice location

350 W Columbia St Ste 310
Evansville, IN 47710-1782

Mailing address

PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6879

Other practice location 1

1301 Pleasant Valley Rd Ste 201
Owensboro, KY 42303-9774
Phone (270) 417-7500

Other practice location 2

257 McDowell St
Asheville, NC 28803
Phone (282) 258-1121

Other identifiers 1

IdentifierTypeStateIssuer
7100505430MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180219001280 KY Practitioner - Physician Assistant 0749541571 Reassigns benefits to 1 organization
I20210727001961 IN Practitioner - Physician Assistant 0749541571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4550

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907

600 Mary St
Evansville, IN 47710-1658
Phone (270) 827-8811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003299AINMDPhysician Assistant
001008943NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jul 26, 2021 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince May 10, 2021 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Jan 24, 2022 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Jan 24, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 10, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Physician Assistant Past Accepting new patients

Locations

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 6

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.

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1609384437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632111",
            "telephone_number": "812-450-6879",
            "fax_number": "812-858-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST STE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pleasant Valley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 McDowell St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28803",
            "country_code": "US",
            "telephone_number": "282-258-1121",
            "fax_number": "828-252-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMELER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC688",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2335",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003299A",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "001008943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100505430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.