NPIMap

Individual provider Active NPI

Laura L Pauckner, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1629444856
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005752A Issued in IN
Practice address
4600 W Lloyd Expy
Evansville, IN 47712-6517
Phone
(812) 450-7246
Fax
(812) 450-4855
NPI assigned
Aug 11, 2015
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005752A IN Primary

Addresses

Primary practice location

4600 W Lloyd Expy
Evansville, IN 47712-6517

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7246

Other names 1

  • Laura L Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001919 IN Practitioner - Nurse Practitioner 3779890074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

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

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71005752AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Sep 9, 2015 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Sep 9, 2015 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

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

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720

Interoperability endpoints

  • Direct secure messaging: lpauckner56505@direct.deaconess.com

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 7

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1629444856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-7246",
            "fax_number": "812-450-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126517",
            "telephone_number": "812-450-7246",
            "fax_number": "812-450-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUCKNER",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005752A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SMITH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.