Individual provider Active NPI

Jessica Myers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sullivan, IN
National Provider Identifier
1902278476
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
01038772A Issued in IN
Practice address
2200 N Section St
Sullivan, IN 47882-7523
Phone
(812) 268-4311
Fax
(812) 268-2652
NPI assigned
Oct 23, 2015
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005765A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 01038772A IN Primary

Addresses

Primary practice location

2200 N Section St
Sullivan, IN 47882-7523

Mailing address

2962 N County Road 175 E
Sullivan, IN 47882-7387
Phone (812) 236-9083

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
I20161216001147 IN Practitioner - Nurse Practitioner 0446564207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038772AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Jul 7, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jul 7, 2024 Accepting new patients
Mso Clinics, Inc. Past Accepting new patients

Locations

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

4525 S Springhill Jct
Terre Haute, IN 47802
Phone 8122346053255

Interoperability endpoints

  • Direct secure messaging: jemyers@unionhealth.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1902278476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 N COUNTY ROAD 175 E",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827387",
            "telephone_number": "812-236-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SECTION ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827523",
            "telephone_number": "812-268-4311",
            "fax_number": "812-268-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005765A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "01038772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.