Organization Active NPI

Versailles Healthcare LLC

  • Primary Care Nurse Practitioner
  • Versailles, IN
National Provider Identifier
1992666242
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Marie E MenchhoferNPI 1427817352
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260226001410 IN Part B Supplier - Clinic/Group Practice 6507347671 Receives reassigned benefits from 1 practitioner
Practice locations: Versailles, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2339142Versailles Healthcare, LLC202 Gaslight Drive, Suite 1, Versailles, IN 47042Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.