Individual provider Active NPI

Debra Tague, FNP-C

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1760739130
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1212177 Issued in IN
Practice address
4445 S 10TH St
Terre Haute, IN 47802-4315
Phone
(812) 917-4629
Fax
(812) 917-4631
NPI assigned
Aug 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1212177 IN Primary

Addresses

Primary practice location

4445 S 10TH St
Terre Haute, IN 47802-4315

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 491-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130513000565 IN Practitioner - Nurse Practitioner 8820235799 Reassigns benefits to 3 organizations
I20191024001490 OH Practitioner - Nurse Practitioner 8820235799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Township District Memorial HospitalGroup PAC ID 3870491590, 39 clinicians
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone 41939433353569

2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830

2605 N Lebanon St
Lebanon, IN 46052-1476

6085 Heartland Dr
Zionsville, IN 46077-4433

Hospital & facility affiliations

  • Witham Health Services Hospital, Lebanon, IN, CCN 150104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1212177INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Oct 1, 2022 Accepting new patients
Witham Memorial Hospital CurrentSince Jul 20, 2025 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Oct 1, 2022 Accepting new patients
Witham Memorial Hospital CurrentSince Jul 20, 2025 Accepting new patients
Union Hospital Inc. Current Accepting new patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Sep 20, 2023 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Oct 1, 2022 Accepting new patients
In Hospitalists, LLC CurrentSince Apr 1, 2023 Accepting new patients
JTDM Family Practice LLC Family Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

Interoperability endpoints

  • Direct secure messaging: dtague@unionhealth.cernerdirect.com

Organizations & group practices 11

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 1

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": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1760739130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-491-1462",
            "fax_number": "812-492-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S 10TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024315",
            "telephone_number": "812-917-4629",
            "fax_number": "812-917-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUE",
        "first_name": "DEBRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F1212177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.