Active NPI
Versailles Healthcare LLC
- Primary Care Nurse Practitioner
- Versailles, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- VERSAILLES HEALTHCARE LLC
- Practice address
- 202 Gaslight Dr Ste 1
Versailles, IN 47042-9471 - Phone
- (812) 756-5940
- NPI assigned
- Nov 18, 2025
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie E Menchhofer
- Title
- Owner
- Phone
- (812) 663-1304
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
202 Gaslight Dr Ste 1
Versailles, IN 47042-9471
Mailing address
202 Gaslight Dr Ste 1
Versailles, IN 47042-9471
Phone (812) 609-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2339142 | Versailles Healthcare, LLC | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
202 Gaslight Dr
Ste 1
Versailles, IN 47042
Phone (812) 609-2030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Versailles, IN
- NPI 1427817352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1992666242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 GASLIGHT DR STE 1",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470429471",
"telephone_number": "812-609-2030",
"fax_number": "949-850-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 GASLIGHT DR STE 1",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470429471",
"telephone_number": "812-756-5940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERSAILLES HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-18",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "MENCHHOFER",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-663-1304"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Versailles, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.