NPIMap

Organization Active NPI

St Vincent Fishers Hospital Inc

Doing business as Ascension St Vincent Fishers

  • General Acute Care Hospital
  • Fishers, IN
National Provider Identifier
1881956167
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
13-013137-1 Issued in IN
Legal business name
ST VINCENT FISHERS HOSPITAL INC
Doing business as
Ascension St Vincent Fishers
Practice address
13861 Olio Road
Fishers, IN 46037-3487
Phone
(317) 415-9000
Fax
(317) 415-9049
NPI assigned
Jun 12, 2012
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Becky Lee Jacobson
Title
VP of Finance
Phone
(317) 582-7219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 13-013137-1 IN Primary

Addresses

Primary practice location

13861 Olio Road
Fishers, IN 46037-3487

Mailing address

13861 Olio Road
Fishers, IN 46037-3487
Phone (317) 415-9000

Other identifiers 1

IdentifierTypeStateIssuer
201174110AMedicaidIN

Other names 1

  • Ascension St Vincent Fishers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130218000389 IN Part A Provider - Hospital 2163676347 Practice locations: Fishers, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881956167. Details of each certification follow.

Hospital certification: CCN 150181

Legal name
ST VINCENT FISHERS HOSPITAL INC
Doing business as
ASCENSION ST VINCENT FISHERS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 13, 2013
Last certification
May 13, 2013
Beds
46
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
13861 Olio Rd
Fishers, IN 46037-3487
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension St Vincent FishersCCN 150181 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1087096St Vincent Fishers Hospital, Point of Care Testing13861 Olio Road, Fishers, IN 46037AccreditationJul 22, 2027
15D1087222Ascension St Vincent Fishers Hospital13861 Olio Road, Fishers, IN 46037AccreditationMay 27, 2027

National Provider Directory

National Provider Directory

Locations

13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595

13914 Southeastern Pkwy
Ste 102
Fishers, IN 46037
Phone (317) 415-9193

13914 Southeastern Pkwy
Ste 106
Fishers, IN 46037
Phone (317) 415-9180

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald C Perkins Individual Corporate DirectorBoard Member Jul 1, 2025
St Vincent Fishers Hospital Inc Organization, Fishers, IN Non-profit 5% Or Greater Direct Ownership Interest Apr 3, 2013 100%
Don C Damron Individual Corporate DirectorBoard Member Jul 1, 2025
Leo J Dierckman Individual Corporate DirectorBoard Member Jul 1, 2018
Skander Nasser Individual Corporate DirectorBoard Member Jul 1, 2025
Kelly Karickhoff Individual Corporate DirectorBoard Member Jul 1, 2025
Allison Taylor Individual Corporate DirectorBoard Members Jul 1, 2025
Robin Ludlow Individual Corporate DirectorBoard Member Jul 1, 2025
Loraine Brown Individual Corporate DirectorBoard Member Jul 1, 2025
Deon Rowie Individual Corporate DirectorBoard Member Jul 1, 2025
Jordan Allred Individual Corporate DirectorBoard Member Jul 1, 2025
Becky Jacobson Individual Corporate OfficerVice President Finance Jul 1, 2018
W-2 Managing EmployeeVice President Finance Jul 1, 2018
Marion Teixeira Individual Corporate DirectorBoard Member Jul 1, 2025
Aleksander Overbey Individual Corporate OfficerAdministrator Jul 1, 2025
W-2 Managing EmployeeAd; Jul 1, 2025
St Vincent Health Inc Organization, Indianapolis, IN Non-profit, Chain home office Operational/Managerial Control Apr 8, 2013
Parveen Chand Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Affiliated clinicians 294

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 294

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1881956167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 OLIO ROAD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487",
            "telephone_number": "317-415-9000",
            "fax_number": "317-415-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 OLIO ROAD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487",
            "telephone_number": "317-415-9000",
            "fax_number": "317-415-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT FISHERS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "317-582-7219"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "13-013137-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201174110A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St Vincent Fishers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.