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ASCENSION MEDICAL GROUP
NPI 1669226593
Family Medicine in Evansville, IN

Active since April 16, 2024CLIA Certified · 3 labs
3838 N 1ST AVE, EVANSVILLE, IN 47710(812) 485-8119 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ascension Medical Group NPPES

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

ASCENSION MEDICAL GROUP (NPI 1669226593) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since April 2024. The organization holds 3 active CLIA laboratory certificates and lists Danielle Douglas, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669226593
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASCENSION MEDICAL GROUP
Location Address3838 N 1ST AVEEvansville, IN 47710-3326
Mailing Address3838 N 1st AveEvansville, IN 47710-3326
Phone(812) 485-8119
Organization SubpartNo
Authorized OfficialDanielle DouglasBilling Coordinator · (812) 485-8119
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1669226593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3838 N 1ST AVE, Evansville, IN 47710
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 15D0911967

Ascension Medical Group St Vincent - Pediatrics Diamond Valley · Evansville, IN
Active · expires Feb 19, 2028
CLIA Number15D0911967
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorGrace Esan
Laboratory Phone(812) 422-6886
Laboratory LocationAscension Medical Group St Vincent - Pediatrics Diamond Valley3838 N First Street Suite C, Evansville, IN 47710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1068357

Ascension Medical Group St Vincent - Primary Care Northbrook · Evansville, IN
Active · expires May 8, 2027
CLIA Number15D1068357
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorJanet Kelley
Laboratory Phone(812) 602-6000
Laboratory LocationAscension Medical Group St Vincent - Primary Care Northbrook3838 N First Avenue Suite D, Evansville, IN 47710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0970475

Ascension Medical Group St Vincent - Primary Care Northbrook Suite E · Evansville, IN
Active · expires Dec 10, 2026
CLIA Number15D0970475
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRobert D. Barnes
Laboratory Phone(812) 425-3362
Laboratory LocationAscension Medical Group St Vincent - Primary Care Northbrook Suite E3838 N First Ave Ste E, Evansville, IN 47710
CLIA data matches this NPI record on: Name
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 6

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

DR. ROBERT D. BARNES III M.D.
Family Medicine
3838 N 1ST AVE, STE E
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-3362
MRS. MARY ANN WILSBACHER RN, FNP, WHNP
Nurse Practitioner (Family)
3838 N 1ST AVE, STE E
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-3362
GINA L AMIANO NP
Nurse Practitioner (Family)
3838 N 1ST AVE, STE D
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-0300
SUSAN M SHAW FNP
Nurse Practitioner (Family)
3838 N 1ST AVE, STE C
EVANSVILLE, IN 47710
Vanderburgh County (812) 402-8808
LISA M. RAUSCHER PA
Physician Assistant
3838 N 1ST AVE, STE D
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-0300
PHYSIOTHERAPY ASSOCIATES
Clinic/Center (Physical Therapy)
3838 N 1ST AVE
EVANSVILLE, IN 47710
Vanderburgh County (812) 471-7132

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 Ascension Medical Group's NPI number?

The NPI number for Ascension Medical Group is 1669226593. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is Ascension Medical Group located?

Ascension Medical Group is located at 3838 N 1st Ave, Evansville, IN 47710. The listed phone number is (812) 485-8119.

What is Ascension Medical Group's specialty?

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

Does Ascension Medical Group hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group was last updated on April 16, 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.