Individual provider Active NPI

Tanisha Mai Chamberlain

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1982588059
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017039A Issued in IN
Practice address
2014 Chadwick Dr
Newburgh, IN 47630-7517
Phone
(812) 486-6938
Fax
(812) 356-6445
NPI assigned
Aug 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 71017039A IN Primary

Addresses

Primary practice location

2014 Chadwick Dr
Newburgh, IN 47630-7517

Mailing address

8418 E 300 N
Montgomery, IN 47558-5210
Phone (812) 486-6938

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
I20250917000536 IN Practitioner - Nurse Practitioner 3577067214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SWDC Medical Associates LLCGroup PAC ID 2466716501, 11 clinicians
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

2014 Chadwick Dr
Newburgh, IN 47630-7517
Phone (812) 698-9323

2119 E National Hwy
East Gate Manor
Washington, IN 47501-4507
Phone (812) 254-3301

Hospital & facility affiliations

  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017039AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Oct 21, 2025 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Oct 21, 2025 Accepting new patients
SWDC Medical Associates LLC CurrentSince Sep 5, 2025 Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

2119 E National Hwy
Washington, IN 47501
Phone (812) 254-3301

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1982588059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 E 300 N",
            "city": "MONTGOMERY",
            "state": "IN",
            "postal_code": "475585210",
            "telephone_number": "812-486-6938",
            "fax_number": "812-356-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CHADWICK DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307517",
            "telephone_number": "812-486-6938",
            "fax_number": "812-356-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "TANISHA",
        "middle_name": "MAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017039A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.