EVANSVILLE PRIMARY CARE
NPI 1629027800
Family Medicine in Evansville, IN
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, 2028 and lists Kaylynn Cantacessi, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evansville Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Evansville Primary Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INFrequently 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.
Is Evansville Primary Care LLC enrolled in Medicare?
Yes. Evansville Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evansville Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Evansville Primary Care 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 Nurse Practitioner (6), Family Practice (1) and General Practice (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Evansville Primary Care · NPI 1629027800
Family Medicine organization in Evansville, Indiana. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1629027800 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Evansville Primary Care Llc
- **Also known as:** Douglas S Palmenter MD LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Kaylynn Cantacessi, MANAGER
## Practice location
- **Address:** 4933 E PLAZA EAST BLVD, Evansville, IN 47715-2813
- **Phone:** (812) 479-6907 · **Fax:** (812) 479-6967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), General Practice (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2023
- **Other identifiers:** Medicaid 200321590 (IN); Medicaid 1912987363 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629027800) · Data from the CMS NPPES public registry.