Susan Ellsperman, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01093711A Issued in IN

Practice address

350 W Columbia St Ste 200
Evansville, IN 47710-1756

Phone

(812) 425-2646

Fax

(812) 467-7209

NPI assigned

May 5, 2017

Last updated

Jun 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 2017

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)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Multi-Specialty

  NPD
• Deaconess Clinic, Inc.

  dba Deaconess Clinic I

  • Otolaryngology Physician
  • Evansville, IN
  • NPI 1003211244

  Multi-Specialty

  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Deaconess Memorial Medical Center, Inc.

  dba Memorial Hospital & Health Care Center

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation
• Gibson General Hospital Inc.

  • Critical Access Hospital
  • Princeton, IN
  • NPI 1558346007
  Care Compare affiliation
• Methodist Health, Inc.

  dba Deaconess Henderson Hospital

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1760918080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101756",
            "telephone_number": "812-425-2646",
            "fax_number": "812-467-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSPERMAN",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301111962",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A177533",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01093711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah D Ellis, LPN
• Vickie Ellis
• Carla R Ellison, MS, CCC-SLP
• Jacob Ellison, DPT
• Michael Wayne Ellsperman, RPH
• Laura Lynn Ellsworth, MA, LMHC
• Haley Elpers, DPT
• Molly Elpers, RN
• Sarah Ann Elrod
• Donald V Elshoff, MD

• Otolaryngology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.