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RIVERSIDE FAMILY CLINIC, INC
NPI 1821469602
Nurse Practitioner - Family in Vincennes, IN

Active since October 19, 2015CLIA 15D2104980 · Waiver
328 N 2ND ST, SUITE 102, VINCENNES, IN 47591(812) 291-5993(812) 316-1117 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Family Clinic, Inc NPPES

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

RIVERSIDE FAMILY CLINIC, INC (NPI 1821469602) is a healthcare organization registered as a family in Vincennes, Indiana and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Andrea L Stephens, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1821469602
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVERSIDE FAMILY CLINIC, INC
Location Address328 N 2ND ST, SUITE 102Vincennes, IN 47591
Mailing AddressPo Box 436, 328 N 2nd St, Suite 102Vincennes, IN 47591 · (812) 291-5993 · Fax (812) 316-1117
Phone(812) 291-5993
Fax(812) 316-1117
Organization SubpartNo
Authorized OfficialAndrea L StephensOwner/operator · (812) 291-5993
Enumeration DateOctober 19, 2015
Last NPPES UpdateNovember 13, 2015
✔ NPI 1821469602 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 · 28140893A
328 N 2ND ST, SUITE 102, Vincennes, IN 47591
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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

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 ›

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 15D2104980

Riverside Family Clinic, Inc · Vincennes, IN
Active · expires Nov 16, 2027
CLIA Number15D2104980
Laboratory TypePractitioner Other
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorAndrea L. Stephens
Laboratory Phone(812) 291-5993
Laboratory LocationRiverside Family Clinic, Inc1600 Willow St Ste A, Vincennes, IN 47591
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Riverside Family Clinic, Inc's NPI number?

The NPI number for Riverside Family Clinic, Inc is 1821469602. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Riverside Family Clinic, Inc located?

Riverside Family Clinic, Inc is located at 328 N 2nd St, Suite 102, Vincennes, IN 47591. The listed phone number is (812) 291-5993.

What is Riverside Family Clinic, Inc's specialty?

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

Does Riverside Family Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2104980) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Riverside Family Clinic, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Riverside Family Clinic, Inc 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 Riverside Family Clinic, Inc was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.