Individual provider Active NPI

Lachelle Andrea Ahlert, NP-C

  • Family Nurse Practitioner
  • Washington, IN
National Provider Identifier
1689265993
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010761A Issued in IN
Practice address
1314 E Walnut St
Washington, IN 47501-2860
Phone
(812) 617-0934
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010761A IN Primary

Addresses

Primary practice location

1314 E Walnut St
Washington, IN 47501-2860

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

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
I20210611001045 IN Practitioner - Nurse Practitioner 4183024227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital Physician Services, Inc 143 clinicians

Practice addresses (Care Compare)

2005 State St
Suite a
Washington, IN 47501-8559
Phone (812) 254-4650

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010761AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital CurrentSince Jul 1, 2022 Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Jul 1, 2022 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Sep 1, 2022 Accepting new patients
Good Samaritan Hospital CurrentSince Sep 1, 2022 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

1813 Willow St
Vincennes, IN 47591
Phone (812) 882-0894

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

2005 State St
Ste A
Washington, IN 47501
Phone (812) 254-4650

Organizations & group practices 7

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 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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1689265993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012860",
            "telephone_number": "812-617-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLERT",
        "first_name": "LACHELLE",
        "middle_name": "ANDREA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010761A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.