Individual provider Active NPI

Debra Painter, NP-C

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1952877144
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008590A Issued in IN
Practice address
1027 Washington Ave
Vincennes, IN 47591-2240
Phone
(812) 494-7500
Fax
(812) 494-7600
NPI assigned
Oct 16, 2018
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008590A IN Primary
General Practice Registered Nurse 163WG0000X 28170283A IN

Addresses

Primary practice location

1027 Washington Ave
Vincennes, IN 47591-2240

Mailing address

PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9501

Other practice location 1

1216 Washington Ave
Vincennes, IN 47591-2245
Phone (812) 885-6960

Other practice location 2

1813 Willow St Ste 3
Vincennes, IN 47591-4276
Phone (812) 885-8941

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
I20190311002818 IN Practitioner - Nurse Practitioner 1658610506 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

Practice addresses (Care Compare)

1027 Washington Ave
Vincennes, IN 47591-2240
Phone (812) 494-7500

1813 Willow St
Conv Care
Vincennes, IN 47591-4279
Phone (812) 885-8941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28170283AINMDGeneral Practice Registered Nurse
71008590AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Dec 17, 2018 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Mar 18, 2019 Accepting new patients
Good Samaritan Hospital CurrentSince Mar 18, 2019 Accepting new patients

Locations

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

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

1216 Washington Ave
Vincennes, IN 47591
Phone (812) 882-1800

1813 Willow St
Vincennes, IN 47591
Phone (812) 882-0894

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

429 S 6th St
Vincennes, IN 47591
Phone (812) 882-3280

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

Interoperability endpoints

  • Direct secure messaging: dpainter145786@direct.deaconess.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 3

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1952877144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 WASHINGTON AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912240",
            "telephone_number": "812-494-7500",
            "fax_number": "812-494-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475912245",
            "country_code": "US",
            "telephone_number": "812-885-6960",
            "fax_number": "812-885-6961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Willow St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914276",
            "country_code": "US",
            "telephone_number": "812-885-8941",
            "fax_number": "812-885-8940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "DEBRA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008590A",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28170283A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.