Lynnelle Driver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000505A Issued in IN

Practice address

411 W Tipton St
Seymour, IN 47274-2363

Phone

(812) 523-5862

Fax

(812) 523-4753

NPI assigned

Aug 1, 2006

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lynnelle Koch Former name

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schneck Medical Center Hospital, Seymour, IN, CCN 150065
• Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as apm

Quality

85.1

Promoting interoperability

94.69

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldriver2@direct.iuhealth.org

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.

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037
  Medicare reassignment Care Compare group NPD
• Indiana University Health Urgent Care Centers, LLC.

  dba IU Health Urgent Care LLC

  • Urgent Care Clinic/Center
  • Greenwood, IN
  • NPI 1750763819
  Medicare reassignment NPD
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1033548896
  Medicare reassignment NPD
• Indiana University Health Urgent Care Centers, LLC

  dba IU Health Urgent Care Centers, LLC

  • Non-Pharmacy Dispensing Site
  • Greenwood, IN
  • NPI 1689445280
  NPD
• Indiana University Health Urgent Care Centers, LLC

  dba IU Health Urgent Care Centers, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1972273654
  NPD
• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  NPD
• Creek Settlement Inpatient Services LLC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1912295981
  NPD (past)
• Indiana University Health Urgent Care Centers, LLC

  dba IU Health Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Brownsburg, IN
  • NPI 1114302965
  NPD (past)
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation
• Norton Scott Hospital, LLC

  dba Norton Scott Hospital

  • Critical Access Hospital
  • Scottsburg, IN
  • NPI 1013251594
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1982611299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-523-5862",
            "fax_number": "812-523-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461437365",
            "country_code": "US",
            "telephone_number": "317-893-3888",
            "fax_number": "317-893-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 E Main St",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431393",
            "country_code": "US",
            "telephone_number": "317-969-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "LYNNELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000505A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000374100",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201252530",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldriver2@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "70 E Main St",
            "address_2": "Suite C",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYNNELLE",
            "last_name": "KOCH",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Seymour, IN
• Providers in Seymour, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.