Individual provider Active NPI

Lisa M. Rauscher, PA

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1699839605
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000434A Issued in IN
Practice address
3838 N 1St Ave
Ste D
Evansville, IN 47710-3326
Phone
(812) 425-0300
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000434A IN Primary

Addresses

Primary practice location

3838 N 1St Ave
Ste D
Evansville, IN 47710-3326

Mailing address

3838 N 1St Ave # D
Evansville, IN 47710-3326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.rauscher.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

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
I20100302000650 IN Practitioner - Physician Assistant 6002951027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3838 N 1St Ave C
Evansville, IN 47710-3326
Phone (812) 485-4030

3838 N 1St Ave D
Evansville, IN 47710-3326
Phone (812) 425-0300

3838 N 1St Ave E
Evansville, IN 47710-3326
Phone (812) 425-3362

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000434AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physicians Network LLC Physician Assistant CurrentSince Aug 14, 2022 Accepting new patients
St Mary'S Medical Group, LLC Physician Assistant CurrentSince Mar 1, 2010 Accepting new patients
St. Mary'S Health, Inc PastSince Aug 14, 2022 Accepting new patients

Locations

1400 Professional Blvd
Ste 210
Evansville, IN 47714

3838 N 1st Ave
#D
Evansville, IN 47710
Phone (812) 425-0300

3838 N 1st Ave
Ste E
Evansville, IN 47710
Phone (812) 425-3362

6221 Physicians Ct
Evansville, IN 47715
Phone (812) 491-3236

3838 N 1st Ave
Ste D
Evansville, IN 47710
Phone (812) 402-8808

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3838 N 1st Ave
#C
Evansville, IN 47710
Phone (812) 402-8808

7240 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-6336

Interoperability endpoints

  • Direct secure messaging: lisa.rauscher.1@7598.direct.athenahealth.com

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 4

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1699839605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N 1ST AVE # D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N 1ST AVE",
            "address_2": "STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103326",
            "telephone_number": "812-425-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.rauscher.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3838 N 1st Ave",
            "address_2": "Ste D",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477103326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.