Individual provider Active NPI

Lauren Tillman, APN, CNP

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1629576368
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010381A Issued in IN
Practice address
4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone
(812) 426-9545
Fax
(812) 858-4512
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.017186 IL
Nurse Practitioner 363L00000X 71010381A IN Primary

Addresses

Primary practice location

4219 Gateway Blvd
Newburgh, IN 47630-7925

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767

Other practice location 1

676 N Saint Clair St Ste 2125
Chicago, IL 60611-3330
Phone (312) 695-0990

Other practice location 2

250 E Superior St
Chicago, IL 60611-2914
Phone (312) 472-1600

Other names 1

  • Lauren Meneghetti Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924002934 IN Practitioner - Nurse Practitioner 6800122243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 858-3051

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.017186ILMDNurse Practitioner
71010381AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Sep 18, 2020 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

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

4219 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9545

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

Interoperability endpoints

  • Direct secure messaging: lmeneghetti45074@direct.deaconess.com

Organizations & group practices 5

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 11

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1629576368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307925",
            "telephone_number": "812-426-9545",
            "fax_number": "812-858-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 2125",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113330",
            "country_code": "US",
            "telephone_number": "312-695-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112914",
            "country_code": "US",
            "telephone_number": "312-472-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "LAUREN",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017186",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010381A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MENEGHETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.