VICKIE L VANDEVENTER FNP
NPI 1770890568
Nurse Practitioner - Family in Bloomington, IN

Q: What is Vickie Vandeventer's NPI number?

The NPI number for Vickie Vandeventer is 1770890568. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Q: What is Vickie Vandeventer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 01, 2010PECOS Enrolled

4935 W ARLINGTON RD, BLOOMINGTON, IN 47404(812) 353-3800(812) 353-3770 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Dec 23, 2020, Mar 1, 2016 (3 updates tracked since 2016).

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About Vickie L Vandeventer Fnp NPPES

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

VICKIE L VANDEVENTER FNP (NPI 1770890568) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71003333A) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770890568

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVICKIE L VANDEVENTERCredential: FNP

Location Address4935 W ARLINGTON RDBloomington, IN 47404-1187

Mailing AddressPo Box 1329Bloomington, IN 47402-1329

Phone(812) 353-3800

Fax(812) 353-3770

Sole ProprietorNo

Enumeration DateSeptember 1, 2010

Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1770890568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71003333A

4935 W ARLINGTON RD, Bloomington, IN 47404

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Other Identifiers 1

Medicaid201030630IN

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vickie L Vandeventer Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DIONNE COZIER ROSS MD

Pediatrics