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Individual provider Active NPI

Gina R Niemeier, PA-C

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1720183247
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000344A Issued in IN
Practice address
520 Mary St
Suite 340
Evansville, IN 47710-1677
Phone
(812) 450-6700
Fax
(812) 450-6710
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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 10000344A IN Primary

Addresses

Primary practice location

520 Mary St
Suite 340
Evansville, IN 47710-1677

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6700

Other names 1

  • Gina R Topper 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
I20040712000570 IN Practitioner - Physician Assistant 4284612615 Reassigns benefits to 2 organizations

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
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone (812) 426-9545

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC056KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Physician Assistant CurrentSince Nov 5, 2012 Accepting new patients
Deaconess Hospital, Inc Physician Assistant CurrentSince Aug 5, 2019 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 5, 2019 Accepting new patients
Deaconess Hospital, Inc Physician Assistant Past Accepting new patients

Locations

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

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

515 Read St
Evansville, IN 47710
Phone (812) 437-1420

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

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

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1720183247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6700",
            "fax_number": "812-450-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE 340",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101677",
            "telephone_number": "812-450-6700",
            "fax_number": "812-450-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEIER",
        "first_name": "GINA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000344A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "TOPPER",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.