DEETTA KAY VANCE (DNP, APRN, FNP-BC) – Registered Nurse, NPI 1144664665

DEETTA KAY VANCE (DNP, APRN, FNP-BC) is a healthcare provider. based in Greenwood, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-BC. They hold a License No. 28178817A (IN). The NPI Number for DEETTA KAY VANCE (DNP, APRN, FNP-BC) is 1144664665

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DEETTA KAY VANCE (DNP, APRN, FNP-BC)
NPI
1144664665
Phone
Not provided
Address
5493 GAINESWAY DR
Enumeration Date
26 April 2013
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106153483
Graduation Year
2017 (9 years ago)
PAC ID
1850514621
Group Practice PAC ID
5698027266
Professional Enrollment ID
I20140729001668
Address ID
IN477140544EV3701XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:13State licenses:6Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for DEETTA KAY VANCE (DNP, APRN, FNP-BC)

  • 5493 GAINESWAY DR

    GREENWOOD, IN 461429096

    Phone:

    Type: Mailing

  • 7229 CLEARVISTA DR

    INDIANAPOLIS, IN 46256

    Phone: (317) 621-4300

    Type: Location

  • 610 E WALNUT ST STE A

    EVANSVILLE, IN 477132460

    Phone: (844) 999-0019

    Fax: (888) 736-6686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140729001668INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698027266View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
-IN
Nurse PractitionerOH
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check DEETTA KAY VANCE (DNP, APRN, FNP-BC) using NPI 1144664665?
NPI 1144664665 belongs to DEETTA KAY VANCE (DNP, APRN, FNP-BC); compare other details if you need extra assurance.
Active or inactive — what applies to DEETTA KAY VANCE (DNP, APRN, FNP-BC)?
You should see DEETTA KAY VANCE (DNP, APRN, FNP-BC) as active in CMS-hosted NPPES data.
What kind of doctor is DEETTA KAY VANCE (DNP, APRN, FNP-BC)?
DEETTA KAY VANCE (DNP, APRN, FNP-BC) is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DEETTA KAY VANCE (DNP, APRN, FNP-BC)?
Directory geography for DEETTA KAY VANCE (DNP, APRN, FNP-BC) centers on Greenwood, Indiana.
When was this NPI issued?
Enumeration for DEETTA KAY VANCE (DNP, APRN, FNP-BC) is noted as April 26, 2013 where the registry provides it.