KRISIE L MEDLER (NPI# 1437648755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437648755 |
| Entity Type | Individual |
| Full Name | KRISIE L MEDLER |
| Other Name | KRISIE L HOWARD |
| Credential | AGACNP |
| Practice Address |
520 Mary St Ste 520 Evansville IN 47710 |
| Mailing Address |
520 Mary St Ste 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Mailing Telephone | 8124248231 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
28180916A | IN | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
XXXXXXXXX | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300016191 | 05 | |
| IN | ANTHEM BCBS | 000001186463 | 01 |
| Street Address |
520 MARY ST STE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027008 | Prasad V Gade | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2005-07-21 |
| 1356940118 | Jessica L Jobe | Registered Nurse | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2020-10-22 |
| 1629689096 | Sarah M Meehan | Registered Nurse | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2020-08-11 |
| 1558918532 | Candice M Teague | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2019-08-23 |
| 1992352165 | Jaclyn N Kissel | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2019-08-22 |
| 1164990560 | Jason D Miller | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2018-11-05 |
| 1114428463 | Jennifer L Hagan | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2018-02-22 |
| 1710429444 | Amber L Gorham | Specialist/Technologist, Other | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2016-11-11 |
| 1922418375 | Matthew S Field | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-06 |
| 1952711582 | Alex V Baronowsky | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1598327009 | Jack Chitenje | Nurse Practitioner | 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 | 2019-07-03 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1861966533 | Ethan Jevon Merkel | Nurse Practitioner | 721 W 13th St Ste 221, Jasper, IN 47546-1817 | 2019-01-16 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1205342235 | Outpatient Integrated Strategies, LLC | Nurse Practitioner | 12315 Hancock St Ste 24, Carmel, IN 46032-5885 | 2017-12-28 |
| 1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
| 1821539818 | Heather Hedgepeth | Nurse Practitioner | 1850 State St Fl 1, New Albany, IN 47150-4990 | 2017-03-10 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1578978011 | Ta'mella Ferron | Nurse Practitioner | 7143 Morello Ln, Noblesville, IN 46062-8438 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on KRISIE L MEDLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.