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DERMATOLOGY ASSOCIATES OF INDY LLC
NPI 1962808774
Dermatology in Evansville, IN

Active since November 06, 2014
1212 PROFESSIONAL BLVD, EVANSVILLE, IN 47714(918) 492-6333 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2023, Oct 5, 2023 (2 updates tracked since 2023).

About Dermatology Associates Of Indy Llc NPPES

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

DERMATOLOGY ASSOCIATES OF INDY LLC (NPI 1962808774) is a healthcare organization registered as a dermatology in Evansville, Indiana and active in the NPI registry since November 2014. The organization lists Robert Nevin, Mbr, as its authorized official.

NPPES Registry Identity

NPI1962808774
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF INDY LLC
Location Address1212 PROFESSIONAL BLVDEvansville, IN 47714-8002
Mailing Address1212 Professional Blvd Ste BEvansville, IN 47714-8002 · (812) 401-9030 · Fax (812) 401-9033
Phone(918) 492-6333
Organization SubpartNo
Authorized OfficialRobert NevinMbr · (918) 492-6333
Enumeration DateNovember 6, 2014
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1962808774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1212 PROFESSIONAL BLVD, Evansville, IN 47714
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Associates Of Indy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology Associates Of Indy LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Alexandria Anderson, MSN, FNP-C
Nurse Practitioner
NPI 1881530582
1212 PROFESSIONAL BLVD STE B
Evansville, IN 47714
(812) 401-9030
✔ PECOS✔ Accepts MedicareSame address
Vanessa Mischler, NP
Nurse Practitioner
NPI 1104508993
1212 PROFESSIONAL BLVD STE B
Evansville, IN 47714
(812) 401-9030
✔ PECOSSame address
Cole Lundquist, MD
Dermatology
NPI 1982688891
1875 W DEMPSTER ST STE 660
Park Ridge, IL 60068
(847) 698-1210
✔ PECOS✔ Accepts Medicare282 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Associates Of Indy LLC's NPI number?

The NPI number for Dermatology Associates Of Indy LLC is 1962808774. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Dermatology Associates Of Indy LLC located?

Dermatology Associates Of Indy LLC is located at 1212 Professional Blvd, Evansville, IN 47714. The listed phone number is (918) 492-6333.

What is Dermatology Associates Of Indy LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology Associates Of Indy LLC enrolled in Medicare?

Yes. Dermatology Associates Of Indy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Indy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology Associates Of Indy LLC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology Associates Of Indy LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Dermatology Associates Of Indy 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 Dermatology Associates Of Indy LLC was last updated on November 14, 2023. 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.