JOSHUA JOHN VANDERBUR – Family Nurse Practitioner, NPI 1417424144
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JOSHUA JOHN VANDERBUR
1011 Main St Ste 100
Indianapolis, IN 462246977
Phone: (317) 957-9150
Fax: (317) 957-9965
Type: Location
Main Street, Old Speedway, Speedway, Marion, Indiana, 46224, United States
INDIANAPOLIS, IN 462246977
Phone: (317) 957-9150
Fax: (317) 957-9965
Type: Location
26 N ARSENAL AVE
INDIANAPOLIS, IN 462013808
Phone: (317) 423-0130
Fax: (317) 423-0608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Gilead Sciences, Inc. ($74).
Total Amount
$322
General + Research + Ownership
Payments
13
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190111002830 | I | Nurse Practitioner | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 61 | 61 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 18 | 18 | $0 |
Insurance plans in this area (ZIP 46224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN |
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