NPIMap

Organization Active NPI

St Mary's Medical Group, LLC

Doing business as Ascension Medical Group St. Vincent Evansville

  • Cardiac Rehabilitation Registered Nurse
  • Evansville, IN
National Provider Identifier
1750186656
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
ST MARY'S MEDICAL GROUP, LLC
Doing business as
Ascension Medical Group St. Vincent Evansville
St Vincent Evansville Medical Group
Practice address
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Phone
(812) 473-2642
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Shelby Marie Collins
Title
VP
Phone
(812) 485-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X Primary

Addresses

Primary practice location

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Mailing address

250 W 96TH St Ste 520
Indianapolis, IN 46260-1317

Other names 3

  • ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE Doing business as
  • ST VINCENT EVANSVILLE MEDICAL GROUP Doing business as
  • ASCENSION - INTENSIVE CARDIAC REHAB Other name

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Physicians' Health Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1750186656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST STE 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521",
            "telephone_number": "812-473-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "812-485-4930"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST VINCENT EVANSVILLE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASCENSION - INTENSIVE CARDIAC REHAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.