Individual provider Active NPI

Jessica M Prifogle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1760219737
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71016978A Issued in IN
Practice address
4972 Lincoln Ave
Evansville, IN 47715-7909
Phone
(812) 402-3700
NPI assigned
Sep 16, 2024
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71016978A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4027665 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71016978A IN Primary

Addresses

Primary practice location

4972 Lincoln Ave
Evansville, IN 47715-7909

Mailing address

7666 Pamela LN
Newburgh, IN 47630-9554
Phone (812) 202-3394

Other practice location 1

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250409002410 KY Practitioner - Nurse Practitioner 0244754448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71016978AINMDPsychiatric/Mental Health Nurse Practitioner
4027665KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rivervalley Behavioral Health Inc CurrentSince Jan 31, 2025 Accepting new patients
Indiana Exceptional Medical Care PastSince Oct 21, 2025 Accepting new patients

Locations

1269 Duvall Rd
Beaver Dam, KY 42320
Phone (270) 274-0650

205 Hwy 2084 S
Henderson, KY 42420
Phone (270) 827-9577

618 N Green St
Henderson, KY 42420
Phone (270) 689-6767

1210 4th St
Lewisport, KY 42351
Phone (270) 255-4341

233 N Townsend St
Morganfield, KY 42437
Phone (270) 389-3240

1000 Industrial Dr
Owensboro, KY 42301
Phone (270) 689-6800

1100 Walnut St
Owensboro, KY 42301
Phone (270) 689-6500

314 S Ewing Rd
Owensboro, KY 42301
Phone (207) 683-0438

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1760219737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7666 PAMELA LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309554",
            "telephone_number": "812-202-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157909",
            "telephone_number": "812-402-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4488 Roslin Rd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308590",
            "country_code": "US",
            "telephone_number": "812-858-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIFOGLE",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016978A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4027665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016978A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.