OrganizationActive
Tri State Immunization Group Inc
NPI 1477993939 · Registered Nurse · Evansville, IN
Tri State Immunization Group Inc is a Registered Nurse organization in Evansville, IN (NPI 1477993939).
Provider details
- NPI number
- 1477993939
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Scott Burgess, Owner(812) 402-6000
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Plaza East Boulevard
Ste 107
Evansville, IN 47715-2804
Phone: (812) 402-6000
Fax: (812) 402-6012
Approximate (ZIP-level) locationGet directions
Mailing address
101 Plaza East Blvd
Evansville, IN 47715-2804
Other names (DBA / former)
- Doing business as
- Passport Health of Evansville
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2013-06-29
Frequently asked questions
- What is Tri State Immunization Group Inc's NPI number?
- Tri State Immunization Group Inc's National Provider Identifier (NPI) is 1477993939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Immunization Group Inc?
- Tri State Immunization Group Inc is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Tri State Immunization Group Inc located?
- Tri State Immunization Group Inc's practice location on file with NPPES is 101 Plaza East Boulevard, Evansville, IN 47715-2804.
- What is Tri State Immunization Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Tri State Immunization Group Inc is (812) 402-6000.
- Who is the authorized official for Tri State Immunization Group Inc?
- The authorized official listed on Tri State Immunization Group Inc's NPPES record is Scott Burgess, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Immunization Group Inc's NPI active?
- Yes — Tri State Immunization Group Inc's NPI (1477993939) is active in the NPPES registry as of the last update on 2013-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.