Individual provider Active NPI

Michelle R Spence, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1871047142
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006479A Issued in IN
Practice address
600 Mary St
Evansville, IN 47710-1674
Phone
(812) 450-3405
Fax
(812) 450-3099
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006479A IN Primary

Addresses

Primary practice location

600 Mary St
Evansville, IN 47710-1674

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-3405

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
I20160912000358 IN Practitioner - Nurse Practitioner 1355637729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006479AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Sep 12, 2016 Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Sep 12, 2016 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Oct 23, 2023 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Oct 23, 2023 Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Organizations & group practices 6

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1871047142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-3405",
            "fax_number": "812-450-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101674",
            "telephone_number": "812-450-3405",
            "fax_number": "812-450-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.