Individual provider Active NPI

Gunnar Justus Lynch, PA-C

  • Physician Assistant
  • Newburgh, IN
National Provider Identifier
1992491369
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4011 Gateway Blvd Ste 4000
Newburgh, IN 47630-8947
Phone
(812) 858-6244
Fax
(812) 858-6240
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4011 Gateway Blvd Ste 4000
Newburgh, IN 47630-8947

Mailing address

4015 Gateway Blvd Ste 4000
Newburgh, IN 47630-9465
Phone (812) 858-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240419002485 IN Practitioner - Physician Assistant 1052750296 Reassigns benefits to 2 organizations
I20240913001992 KY Practitioner - Physician Assistant 1052750296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 858-9400

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc CurrentSince Apr 22, 2024 Accepting new patients
Deaconess Clinic, Inc CurrentSince Jun 20, 2024 Accepting new patients
Deaconess Clinic Inc Physician Assistant CurrentSince Apr 22, 2024 Accepting new patients
Deaconess Hospital, Inc Physician Assistant PastSince Oct 12, 2025 Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4015 Gateway Blvd
Ste 4000
Newburgh, IN 47630

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

4011 Gateway Blvd
Ste 4000
Newburgh, IN 47630
Phone (812) 858-6244

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: glynch200294@direct.deaconess.com

Organizations & group practices 8

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1992491369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD STE 4000",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309465",
            "telephone_number": "812-858-6244",
            "fax_number": "812-858-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD STE 4000",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-6244",
            "fax_number": "812-858-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "GUNNAR",
        "middle_name": "JUSTUS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.