EVANSVILLE PRIMARY CARE
NPI 1629027800
Family Medicine in Evansville, IN

Active since May 08, 2006CLIA 15D0361707 · Waiver
4933 E PLAZA EAST BLVD, EVANSVILLE, IN 47715(812) 479-6907(812) 479-6967 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evansville Primary Care NPPES

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

EVANSVILLE PRIMARY CARE (NPI 1629027800) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Kaylynn Cantacessi, Manager, as its authorized official.

NPPES Registry Identity

NPI1629027800
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVANSVILLE PRIMARY CARE LLC
Location Address4933 E PLAZA EAST BLVDEvansville, IN 47715-2813
Mailing Address4933 E Plaza East BlvdEvansville, IN 47715-2813 · (812) 401-8720 · Fax (812) 479-6967
Fax(812) 479-6967
Organization SubpartNo
Authorized OfficialKaylynn CantacessiManager · (812) 479-6907
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1629027800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4933 E PLAZA EAST BLVD, Evansville, IN 47715

Other Names 2

Doing Business AsEvansville Primary Care
Former Legal Business NameDouglas S Palmenter Md Llc

Other Identifiers 2

Medicaid200321590IN
Medicaid1912987363IN

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

Accepted 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 of Waiver 15D0361707

Evansville Primary Care, LLC · Evansville, IN
Active · expires Sep 14, 2026
CLIA Number15D0361707
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorDavid Schultz II
Laboratory Phone(812) 401-8720
Laboratory LocationEvansville Primary Care, LLC4933 E Plaza East Blvd, Evansville, IN 47715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

Family Medicine
4933 E PLAZA EAST BLVD
EVANSVILLE, IN 47715
Nurse Practitioner
4933 E PLAZA EAST BLVD
EVANSVILLE, IN 47715
Nurse Practitioner
4933 E PLAZA EAST BLVD
EVANSVILLE, IN 47715
Nurse Practitioner
4933 E PLAZA EAST BLVD
EVANSVILLE, IN 47715

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 Evansville Primary Care LLC's NPI number?

The NPI number for Evansville Primary Care LLC is 1629027800. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Evansville Primary Care. The provider was formerly known as Douglas S Palmenter MD LLC.

Where is Evansville Primary Care LLC located?

Evansville Primary Care LLC is located at 4933 E Plaza East Blvd, Evansville, IN 47715. The listed phone number is (812) 479-6907.

What is Evansville Primary Care LLC's specialty?

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

Does Evansville Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0361707) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evansville Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Evansville Primary Care 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 Evansville Primary Care LLC was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.