Individual provider Active NPI

Emilee Joy Survance, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Seymour, IN
National Provider Identifier
1619406089
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
02006801A Issued in IN
Practice address
225 S Pine St FL 2
Seymour, IN 47274-2365
Phone
(812) 523-5802
Fax
(812) 523-5821
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 02006801A IN Primary

Addresses

Primary practice location

225 S Pine St FL 2
Seymour, IN 47274-2365

Mailing address

225 S Pine St FL 2
Seymour, IN 47274-2365
Phone (812) 523-5802

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913003259 IN Practitioner - Sleep MedicinePractitioner - Internal Medicine 1850669516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

225 S Pine St
Seymour, IN 47274
Phone (812) 524-3330

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

225 S Pine St
Fl 2
Seymour, IN 47274
Phone (812) 523-7466

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1619406089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PINE ST FL 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-523-5802",
            "fax_number": "812-523-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST FL 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-523-5802",
            "fax_number": "812-523-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURVANCE",
        "first_name": "EMILEE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "02006801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.