Individual provider Active NPI

Beth Ann Vondielingen, NP

  • Family Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1922588086
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008395A Issued in IN
Practice address
1124 Medical PL
Seymour, IN 47274-2640
Phone
(812) 522-1600
Fax
(812) 522-6694
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008395A IN Primary

Addresses

Primary practice location

1124 Medical PL
Seymour, IN 47274-2640

Mailing address

1124 Medical PL
Seymour, IN 47274-2640
Phone (812) 522-1613

Other names 1

  • Miss Beth Ann Franklin Former name

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
I20181030001081 IN Practitioner - Nurse Practitioner 9133472665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Clayton Spine and Health LLCGroup PAC ID 7517323611, 6 clinicians

Practice addresses (Care Compare)

905 W Keegans Way
Suite 7
Greensburg, IN 47240-3403
Phone (812) 663-7640

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Family CurrentSince Oct 25, 2018 Accepting new patients
J Clayton Spine and Health LLC Family CurrentSince Jun 9, 2023 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Jackson County Schneck Memorial Hospital PastSince Mar 1, 2021 Accepting new patients

Locations

806 W Commerce St
Brownstown, IN 47220
Phone (812) 358-2400

905 W Keegans Way
Ste 7
Greensburg, IN 47240
Phone (812) 519-2963

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Ste 4
Seymour, IN 47274

411 W Tipton St
Fl 4
Seymour, IN 47274
Phone (812) 523-5862

1725 E Tipton St
#200
Seymour, IN 47274
Phone (812) 519-2963

1124 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1922588086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-522-1613",
            "fax_number": "812-522-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-522-1600",
            "fax_number": "812-522-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDIELINGEN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "FRANKLIN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.