Individual provider Active NPI

Kendra Lynn Parus, NP

  • Acute Care Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1801178496
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71003683A Issued in IN
Practice address
4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone
(812) 437-7246
Fax
(812) 402-7246
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71003683A IN Primary
Nurse Practitioner 363L00000X 71003683A IN

Addresses

Primary practice location

4411 Washington Ave
Suite 100
Evansville, IN 47714-0805

Mailing address

4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (812) 437-7246

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000647 IN Practitioner - Nurse Practitioner 0042484230 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003683AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Apr 25, 2016 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
State of Indiana Auditor of State CurrentSince Dec 25, 2023 Accepting new patients
State of Indiana, Auditor of State CurrentSince Dec 25, 2023 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Apr 25, 2016 Accepting new patients
Mansoor Ahmad Khan Past Accepting new patients

Locations

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1801178496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-437-7246",
            "fax_number": "812-402-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-437-7246",
            "fax_number": "812-402-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUS",
        "first_name": "KENDRA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71003683A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003683A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.