Individual provider Active NPI

Victoria Ann Othersen, DO

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1629075429
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02004084A Issued in IN
Practice address
362 Meridian Parke LN Ste a
Greenwood, IN 46142-9425
Phone
(317) 528-8760
Fax
(317) 528-8761
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO4288 ME
Family Medicine Physician 207Q00000X 02004084A IN Primary
Family Medicine Physician 207Q00000X 34-007433 OH

Addresses

Primary practice location

362 Meridian Parke LN Ste a
Greenwood, IN 46142-9425

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

119 Northport Ave Fl 2
Belfast, ME 04915-6069
Phone (207) 505-4970

Other practice location 2

2030 Churchman Ave # A
Beech Grove, IN 46107-1044
Phone (317) 786-9285

Other practice location 3

2030 Churchman Ave # A
Beech Grove, IN 46107
Phone (317) 786-9285

Other identifiers 2

IdentifierTypeStateIssuer
000000522568OtherINANTHEM
200250180AMedicaidIN

Other names 1

  • Dr. Victonia Ann Piekarski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkatona121010@Direct.FranciscanAlliance.org Direct

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
I20040920001081 IN Practitioner - Family Practice 7012816309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

2030 Churchman Ave
Suite a
Beech Grove, IN 46107-1044
Phone (317) 786-9285

Hospital & facility affiliations

  • Franciscan VNS Home Care, Inc Home health agency, Beech Grove, IN, CCN 157008
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02004084AINMDFamily Medicine Physician
34-007433OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jan 18, 2018 Accepting new patients
Franciscan Physician Network Family Medicine CurrentSince Jan 18, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2030 Churchman Ave
#A
Beech Grove, IN 46107
Phone (317) 786-9285

2030 Churchman Ave
Beech Grove, IN 46107
Phone (317) 781-2100

2030 Churchman Ave
Ste A
Beech Grove, IN 46107
Phone (317) 783-8957

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

362 Meridian Parke Ln
#A
Greenwood, IN 46142
Phone (317) 528-8760

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: vkatona121010@direct.franciscanalliance.org
  • Direct secure messaging: vothersen121010@direct.franciscanalliance.org

Organizations & group practices 3

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 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1629075429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MERIDIAN PARKE LN STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429425",
            "telephone_number": "317-528-8760",
            "fax_number": "317-528-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Northport Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156069",
            "country_code": "US",
            "telephone_number": "207-505-4970",
            "fax_number": "207-618-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Churchman Ave # A",
            "address_purpose": "LOCATION",
            "city": "Beech Grove",
            "state": "IN",
            "postal_code": "461071044",
            "country_code": "US",
            "telephone_number": "317-786-9285",
            "fax_number": "317-781-2793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Churchman Ave # A",
            "address_purpose": "LOCATION",
            "city": "Beech Grove",
            "state": "IN",
            "postal_code": "46107",
            "country_code": "US",
            "telephone_number": "317-786-9285",
            "fax_number": "317-781-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHERSEN",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO4288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004084A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000522568",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250180A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkatona121010@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2030 Churchman Ave # A",
            "city": "Beech Grove",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTONIA",
            "last_name": "PIEKARSKI",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.