ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE
NPI 1619307873
Internal Medicine - Nephrology in Evansville, IN

Active since November 25, 2013
3700 WASHINGTON AVE, EVANSVILLE, IN 47750(812) 485-4000 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 29, 2020, Feb 17, 2017 (2 updates tracked since 2017).

About Ascension Medical Group St. Vincent Evansville NPPES

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

ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE (NPI 1619307873) is a healthcare organization registered as a nephrology in Evansville, Indiana and active in the NPI registry since November 2013. The organization lists William J Millikan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619307873
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameST MARY'S MEDICAL GROUP, LLC
Location Address3700 WASHINGTON AVEEvansville, IN 47750-0001
Mailing AddressPo Box 13059Belfast, ME 04915-4021 · (317) 583-3022 · Fax (317) 583-2199
Organization SubpartNo
Authorized OfficialWilliam J MillikanCeo · (812) 485-4000
Enumeration DateNovember 25, 2013
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1619307873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
3700 WASHINGTON AVE, Evansville, IN 47750

Other Names 2

Doing Business AsAscension Medical Group St. Vincent Evansville
Doing Business AsSt Vincent Evansville Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ascension Medical Group St. Vincent Evansville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Ascension Medical Group St. Vincent Evansville, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Cardiovascular Disease (Cardiology)6
Nurse Practitioner5
Nephrology4
Interventional Cardiology3
Cardiac Electrophysiology2
Family Practice2
Obstetrics/Gynecology2
Urology2
2 other specialties2

Nearest to this location (20)

See all 28
Obstetrics/Gynecology
NPI 1649685918
3700 WASHINGTON AVE STE 2200
Evansville, IN 47714
(812) 485-7111
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1104099142
3700 WASHINGTON AVE
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1558624536
3700 WASHINGTON AVE STE 2200
Evansville, IN 47714
(812) 485-7596
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275130155
3700 WASHINGTON AVE STE 2200
Evansville, IN 47714
(812) 485-7111
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1053305714
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Cardiology
NPI 1427055268
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1184621823
901 SAINT MARYS DR SUITE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1275512022
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1376541920
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Pulmonary Disease
NPI 1417112483
901 SAINT MARYS DR STE 200
Evansville, IN 47714
(812) 485-6030
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiac Electrophysiology
NPI 1053316869
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Cardiology
NPI 1780628628
901 ST MARY DR SUITE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Cardiology
NPI 1780826784
901 SAINT MARYS DR STE 300
Evansville, IN 47714
(812) 473-2642
✔ PECOS✔ Accepts Medicare0.3 mi
Nephrology
NPI 1780684142
3801 BELLEMEADE AVE STE 330
Evansville, IN 47714
(812) 479-3125
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1588909154
3801 BELLEMEADE AVE STE 300
Evansville, IN 47714
(812) 485-1400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1477827897
3801 BELLEMEADE AVE STE 330
Evansville, IN 47714
(812) 479-3125
✔ PECOS✔ Accepts Medicare0.3 mi
Nephrology
NPI 1609841352
3801 BELLEMEADE AVE STE 330
Evansville, IN 47714
(812) 479-3125
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1598842759
711 SAINT MARYS DR
Evansville, IN 47714
(812) 485-5858
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1619966322
920 S HEBRON AVE
Evansville, IN 47714
(812) 473-1111
✔ PECOS✔ Accepts Medicare0.4 mi
Urology
NPI 1508204454
920 S HEBRON AVE
Evansville, IN 47714
(812) 473-1111
✔ PECOS✔ Accepts Medicare0.4 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St Mary's Medical Group, LLC's NPI number?

The NPI number for St Mary's Medical Group, LLC is 1619307873. It was assigned to this organization in the NPPES registry on November 25, 2013. The provider is doing business as Ascension Medical Group St. Vincent Evansville and St Vincent Evansville Medical Group.

Where is St Mary's Medical Group, LLC located?

St Mary's Medical Group, LLC is located at 3700 Washington Ave, Evansville, IN 47750. The listed phone number is (812) 485-4000.

What is St Mary's Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is St Mary's Medical Group, LLC enrolled in Medicare?

Yes. St Mary's Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Mary's Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 10 Medicare specialties reassign their Medicare billing to St Mary's Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (5) and Nephrology (4). Of these, 4 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Mary's Medical Group, LLC was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.