NPIMap

Individual provider Active NPI

Eleonor Vanover, NP-C

  • Physician Assistant
  • Lagrange, IN
National Provider Identifier
1801249834
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002071A Issued in IN
Practice address
2500 N Detroit St
Lagrange, IN 46761-1158
Phone
(260) 463-2133
Fax
(260) 463-3775
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002071A IN Primary

Addresses

Primary practice location

2500 N Detroit St
Lagrange, IN 46761-1158

Mailing address

PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133

Other practice location 1

610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160804000518 IN Practitioner - Physician Assistant 7911291596 Reassigns benefits to 1 organization
I20241202001326 OH Practitioner - Physician Assistant 7911291596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Internal Medicine Associates, PCGroup PAC ID 7113830688, 52 clinicians

Practice addresses (Care Compare)

2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133

433 W High St
Bryan, OH 43506-1690
Phone 2604632133111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.92 of 100Reported as group
Quality
81.41
Promoting interoperability
100
Improvement activities
40
Cost
78.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002071AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Internal Medicine Associates, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: evanover97268@direct.parkviewexchange.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1801249834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467610236",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611158",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552566",
            "country_code": "US",
            "telephone_number": "260-347-5592",
            "fax_number": "260-347-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "ELEONOR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

Verify at the official NPI Registry.