Wabash Valley Dermatology and Med Spa Inc
NPI 1619561479 · Family Nurse Practitioner · Terre Haute, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wabash Valley Dermatology and Med Spa Inc is a Family Nurse Practitioner organization in Terre Haute, IN (NPI 1619561479).
Provider details
- NPI number
- 1619561479
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lindsay Wilson, President(217) 712-9512
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Frequently asked questions
- What is Wabash Valley Dermatology and Med Spa Inc's NPI number?
- Wabash Valley Dermatology and Med Spa Inc's National Provider Identifier (NPI) is 1619561479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wabash Valley Dermatology and Med Spa Inc?
- Wabash Valley Dermatology and Med Spa Inc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wabash Valley Dermatology and Med Spa Inc located?
- Wabash Valley Dermatology and Med Spa Inc's practice location on file with NPPES is 4949 E Poplar Dr, Terre Haute, IN 47803-2434.
- What is Wabash Valley Dermatology and Med Spa Inc's phone number?
- The practice phone number listed in the NPPES registry for Wabash Valley Dermatology and Med Spa Inc is (217) 712-9512.
- Does Wabash Valley Dermatology and Med Spa Inc accept Medicare?
- Wabash Valley Dermatology and Med Spa Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wabash Valley Dermatology and Med Spa Inc?
- The authorized official listed on Wabash Valley Dermatology and Med Spa Inc's NPPES record is Lindsay Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wabash Valley Dermatology and Med Spa Inc's NPI active?
- Yes — Wabash Valley Dermatology and Med Spa Inc's NPI (1619561479) is active in the NPPES registry as of the last update on 2021-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.