Individual provider Active NPI

Adam Seth Mednick, MD PHD

  • Neurology Physician
  • Vincennes, IN
National Provider Identifier
1922015643
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
CT037501 Issued in CT
Practice address
328 N 2ND St Ste 301
Vincennes, IN 47591-1353
Phone
(812) 885-6850
Fax
(812) 885-6851
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20407 NH
Neurology Physician 2084N0400X MD61015664 WA
Neurology Physician 2084N0400X CT037501 CT Primary
Neurology Physician 2084N0400X MD196718 OR

Addresses

Primary practice location

328 N 2ND St Ste 301
Vincennes, IN 47591-1353

Mailing address

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234
Phone (918) 888-5211

Other identifiers 12

IdentifierTypeStateIssuer
200096274OtherHEALTH CONNECTICUT
200096274OtherUNITED
9794136003OtherCIGNA
0Q3637OtherHEALTHNET
200096274OtherMEDSPAN
P2491200OtherOXFORD
010037501CT02OtherANTHEM
3223587OtherAETNA
P00080745OtherRAILROAD MEDICARE
200096274OtherPHCS
317063OtherWELLCARE
772945OtherCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, OK, IN, NE5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220330001655 AR Practitioner - Neurology 8426140617 Reassigns benefits to 2 organizations
I20220708003322 TX Practitioner - Neurology 8426140617 Reassigns benefits to 2 organizations
I20230711004659 OK Practitioner - Neurology 8426140617 Reassigns benefits to 2 organizations
I20250129000412 IN Practitioner - Neurology 8426140617 Reassigns benefits to 1 organization
I20250418001828 NE Practitioner - Neurology 8426140617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Howard County Medical CenterGroup PAC ID 5698775849, 28 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, shared by 10 NPIs, 187 clinicians
Good Samaritan Hospital Physician Services, IncGroup PAC ID 3971671330, 143 clinicians

Practice addresses (Care Compare)

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

225 E Washington Ave
St Bernards Medical Center
Jonesboro, AR 72401-3119
Phone (870) 972-4100

328 N 2ND St
Vincennes, IN 47591-1351
Phone (812) 882-3312

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Howard County Medical Center Hospital, St Paul, NE, CCN 281338
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CT037501CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jul 7, 2022 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Howard County Medical Center Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cherokee Nation CurrentSince Jul 7, 2022 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 3, 2024 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Howard County Medical Center Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Good Samaritan Hospital CurrentSince Nov 11, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Apr 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 17, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 16, 2023 Accepting new patients
Regional Brain Institute PLLC Neurology CurrentSince Jun 23, 2025 Accepting new patients
St Bernards Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Mar 17, 2023 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Northeast Medical Group, Inc. Past Accepting new patients
Gaylord Hospital, Inc. PastSince Sep 8, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neurological Associates of New Haven, P.C. Past Accepting new patients
Good Samaritan Hospital Physician Services Inc. PastSince Jun 23, 2025 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

328 N 2nd St
Ste 301
Vincennes, IN 47591
Phone (812) 885-6850

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

328 N 2nd St
Vincennes, IN 47591
Phone (812) 882-3312

1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 1206
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

6120 S Yale Ave
Ste 1210
Tulsa, OK 74136
Phone (918) 885-2118

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: amednick674443@direct.deaconess.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: asmednick@sbpc.medalliesdirect.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 10

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1922015643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364234",
            "telephone_number": "918-888-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 2ND ST STE 301",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911353",
            "telephone_number": "812-885-6850",
            "fax_number": "812-885-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "ADAM",
        "middle_name": "SETH",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "20407",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61015664",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "CT037501",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD196718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CONNECTICUT",
            "identifier": "200096274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "200096274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9794136003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0Q3637",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDSPAN",
            "identifier": "200096274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2491200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010037501CT02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3223587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080745",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "200096274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "317063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "772945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.