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PLAZA PARK FAMILY PRACTICE LLC
NPI 1336574490
Family Medicine in Newburgh, IN

Active since September 09, 2013CLIA 15D0998767 · Microscopy
3799 VENETIAN WAY, NEWBURGH, IN 47630(812) 471-4302(812) 471-4303 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2020, Jan 22, 2020, Apr 24, 2019 (3 updates tracked since 2019).

About Plaza Park Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLAZA PARK FAMILY PRACTICE LLC (NPI 1336574490) is a healthcare organization registered as a family medicine in Newburgh, Indiana and active in the NPI registry since September 2013. The organization holds a CLIA Microscopy certificate valid through April 23, 2028 and lists Carleen M Rubel, President, as its authorized official.

NPPES Registry Identity

NPI1336574490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLAZA PARK FAMILY PRACTICE LLC
Location Address3799 VENETIAN WAYNewburgh, IN 47630-8278
Mailing AddressPo Box 3276Evansville, IN 47731-3276 · (812) 473-0181 · Fax (812) 473-5822
Phone(812) 471-4302
Fax(812) 471-4303
Organization SubpartNo
Authorized OfficialCarleen M RubelPresident · (812) 471-4302
Enumeration DateSeptember 9, 2013
Last NPPES UpdateFebruary 27, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1336574490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01036788A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
3799 VENETIAN WAY, Newburgh, IN 47630
Open in Google Maps ↗

Other Identifiers 3

OtherDU3406IN · Railroad Medicare
Other000000840875IN · Anthem
Medicaid201195100IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0998767

Plaza Park Family Practice, LLC · Newburgh, IN
Active · expires Apr 23, 2028
CLIA Number15D0998767
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorCourtney Bender
Laboratory Phone(812) 471-4302
Laboratory LocationPlaza Park Family Practice, LLC3799 Venetian Way, Newburgh, IN 47630
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARLEEN M RUBEL ACNP
Nurse Practitioner
3799 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 471-4302
ELISE RENEE SCHUTT FNP
Nurse Practitioner
3799 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 471-4302
AMANDA M MELVIN NP
Nurse Practitioner
3799 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 471-4302
SHANNON L KRATZER FNP
Nurse Practitioner
3799 VENETIAN WAY
NEWBURGH, IN 47630
Warrick County (812) 471-4302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plaza Park Family Practice LLC's NPI number?

The NPI number for Plaza Park Family Practice LLC is 1336574490. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Plaza Park Family Practice LLC located?

Plaza Park Family Practice LLC is located at 3799 Venetian Way, Newburgh, IN 47630. The listed phone number is (812) 471-4302.

What is Plaza Park Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Plaza Park Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0998767) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plaza Park Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Plaza Park Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plaza Park Family Practice LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.