Individual provider Active NPI

Theresa A Hutchison, FNP-C

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1710067830
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005025A Issued in IN
Practice address
1813 Willow St Ste 3
Vincennes, IN 47591-4279
Phone
(812) 885-8941
Fax
(812) 885-8940
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005025A IN Primary
Family Nurse Practitioner 363LF0000X 28113526A IN
Family Nurse Practitioner 363LF0000X 71005025B IN

Addresses

Primary practice location

1813 Willow St Ste 3
Vincennes, IN 47591-4279

Mailing address

1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3325

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
I20140829001606 IN Practitioner - Nurse Practitioner 4284852468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1813 Willow St
Conv Care
Vincennes, IN 47591-4279
Phone (812) 885-8941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005025AINMDFamily Nurse Practitioner
71005025BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Jul 23, 2014 Accepting new patients
Good Samaritan Hospital CurrentSince Jul 23, 2014 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

328 N 2nd St
Ste 200
Vincennes, IN 47591
Phone (812) 882-4320

406 N 1st St
Ste B
Vincennes, IN 47591
Phone (812) 885-2770

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

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

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

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

Interoperability endpoints

  • Direct secure messaging: thutchison89559@direct.deaconess.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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1710067830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-3325",
            "fax_number": "812-885-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WILLOW ST STE 3",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914279",
            "telephone_number": "812-885-8941",
            "fax_number": "812-885-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005025A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28113526A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005025B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.