Central Iowa Hospital Corporation - Medicare Mental Health Clinic in Des Moines, IA

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Central Iowa Hospital Corporation is a medicare enrolled mental health clinic (Family Medicine) in Des Moines, Iowa. The current practice location for Central Iowa Hospital Corporation is 840 E University Ave, Des Moines, Iowa. For appointments, you can reach them via phone at (515) 265-4211. The mailing address for Central Iowa Hospital Corporation is 5409 Nw 88th St, Suite 200, Johnston, Iowa and phone number is (515) 362-5980.

Central Iowa Hospital Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104879576. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (515) 265-4211.

Contact Information

Central Iowa Hospital Corporation
840 E University Ave
Des Moines
IA 50316-2304
(515) 265-4211
(515) 309-5993

Map and Direction


Mental Health Clinic Profile

Full NameCentral Iowa Hospital Corporation
SpecialityFamily Medicine
Location840 E University Ave, Des Moines, Iowa
Authorized Official Name and PositionMichael J Dewerff (CFO)
Authorized Official Contact5152416507
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Iowa Hospital Corporation
5409 Nw 88th St
Suite 200
Johnston
IA 50131-2949

Ph: (515) 362-5980		Central Iowa Hospital Corporation
840 E University Ave
Des Moines
IA 50316-2304

Ph: (515) 265-4211

NPI Details:

NPI Number1104879576
Provider Enumeration Date05/18/2006
Last Update Date03/19/2019

Medicare PECOS Information:

Medicare PECOS PAC ID1052229275
Medicare Enrollment IDO20040128001102

Medical Identifiers

Medical identifiers for Central Iowa Hospital Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104879576NPI-NPPES
0096958MedicaidIA
CC7397OtherIARAILROAD MEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
2085R0001XRadiology - Radiation Oncology (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Central Iowa Hospital Corporation acts as a billing entity for following providers:
Provider NameEric D Haugen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063406940
PECOS PAC ID: 8426944968
Enrollment ID: I20040223001089
Provider NameThomas E Benzoni
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245231448
PECOS PAC ID: 0648167924
Enrollment ID: I20040302000309
Provider NameSea A Fey
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1972577450
PECOS PAC ID: 2668465527
Enrollment ID: I20040406001154
Provider NameLynn M Rankin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710972823
PECOS PAC ID: 9335135615
Enrollment ID: I20040422000397
Provider NameJudy R Walker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407838618
PECOS PAC ID: 6002804176
Enrollment ID: I20040505001564
Provider NameMark Kovach
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1336128222
PECOS PAC ID: 1850293366
Enrollment ID: I20040513001050
Provider NameJennifer R Sleiter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740272855
PECOS PAC ID: 0941281554
Enrollment ID: I20040921000070
Provider NameAllison L Brown
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235127788
PECOS PAC ID: 2163490756
Enrollment ID: I20040921001227
Provider NameCharles R Dunlop
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215916523
PECOS PAC ID: 6507827318
Enrollment ID: I20041025000947
Provider NameMark W Purtle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356315477
PECOS PAC ID: 1951353838
Enrollment ID: I20050218000615
Provider NameRaygena A Curry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699749762
PECOS PAC ID: 6305899154
Enrollment ID: I20050222000343
Provider NameDianne S Alber
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1053481713
PECOS PAC ID: 5890723472
Enrollment ID: I20050804000007
Provider NameRegina A Torson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245217421
PECOS PAC ID: 1254371024
Enrollment ID: I20050811000432
Provider NameLaura L Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386620284
PECOS PAC ID: 9830120187
Enrollment ID: I20050825000970
Provider NameJohn M Koester
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811978646
PECOS PAC ID: 9739104456
Enrollment ID: I20051012000357
Provider NameBryan L Folkers
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1952327728
PECOS PAC ID: 7012933112
Enrollment ID: I20051018000911
Provider NameSamir Y Alabsi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780662205
PECOS PAC ID: 4183645328
Enrollment ID: I20051215000066
Provider NameJulie L Anderson Suddarth
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245214436
PECOS PAC ID: 7416978655
Enrollment ID: I20051215000094
Provider NameAmy L Timmerman
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1629307012
PECOS PAC ID: 4385652585
Enrollment ID: I20060330000020
Provider NameWook James Kim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124006770
PECOS PAC ID: 2264430362
Enrollment ID: I20061128000570
Provider NameCory C Vaudt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184675159
PECOS PAC ID: 8123091691
Enrollment ID: I20070201000603
Provider NameShehzad Kamran
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942247739
PECOS PAC ID: 7719081751
Enrollment ID: I20070330000117
Provider NameSusan A Hernandez
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1407931363
PECOS PAC ID: 7416053905
Enrollment ID: I20070430000275
Provider NameWendy A Zadeh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194703074
PECOS PAC ID: 7517065667
Enrollment ID: I20070613000354
Provider NameAnish P Keshwani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093764615
PECOS PAC ID: 8426158585
Enrollment ID: I20070703000409
Provider NameCarla M Nester
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1538387873
PECOS PAC ID: 8729179973
Enrollment ID: I20070802000424
Provider NameKathleen S Dewald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578755732
PECOS PAC ID: 8022102631
Enrollment ID: I20070913000249
Provider NameKyriacos Panayides
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063634038
PECOS PAC ID: 4082708144
Enrollment ID: I20070919000936
Provider NameJohn M Tysklind
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1952471005
PECOS PAC ID: 9638241805
Enrollment ID: I20080702000633
Provider NameTracy Laine Ekhardt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265500383
PECOS PAC ID: 0840363115
Enrollment ID: I20080718000672
Provider NameCalvin J Hansen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639157373
PECOS PAC ID: 7810061934
Enrollment ID: I20080807000030
Provider NameDuangchai Narawong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750376034
PECOS PAC ID: 1557437183
Enrollment ID: I20080905000395
Provider NameKatherine M Frush
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1821269333
PECOS PAC ID: 3274601877
Enrollment ID: I20081009000451
Provider NameHeather Smith Bueltel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609027234
PECOS PAC ID: 9032287578
Enrollment ID: I20081010000037
Provider NameTimothy T Hart
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1336121011
PECOS PAC ID: 8729148622
Enrollment ID: I20081121000736
Provider NameNathan E Boonstra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649250713
PECOS PAC ID: 9537221742
Enrollment ID: I20081223000254
Provider NameRobert J Isaak
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1619197464
PECOS PAC ID: 6507929783
Enrollment ID: I20090114000463
Provider NameJohn T Triantafyllos
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1720053705
PECOS PAC ID: 4688737877
Enrollment ID: I20090114000482
Provider NameLisa Jayne Menzies
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356337273
PECOS PAC ID: 4183516669
Enrollment ID: I20090306000370
Provider NameRebecca L Lachenmaier
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1821058322
PECOS PAC ID: 8527115880
Enrollment ID: I20090402000671
Provider NameKathleen M Gradoville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285626390
PECOS PAC ID: 4082761705
Enrollment ID: I20090416000143
Provider NameMarianka O Pille
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841443066
PECOS PAC ID: 5496804809
Enrollment ID: I20090514000120
Provider NameJeffrey S Carstens
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730265976
PECOS PAC ID: 0042285140
Enrollment ID: I20090515000090
Provider NameRyan D Mccracken
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518169051
PECOS PAC ID: 1850440454
Enrollment ID: I20090529000475
Provider NameDebra J Bixler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720073083
PECOS PAC ID: 5193875185
Enrollment ID: I20090612000436
Provider NameRachael K Sokol
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508903691
PECOS PAC ID: 2769578822
Enrollment ID: I20090715000114
Provider NameSudhir C Kumar
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1417931700
PECOS PAC ID: 1355305475
Enrollment ID: I20090715000347
Provider NameLuann A Volkmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386636207
PECOS PAC ID: 9032262035
Enrollment ID: I20090807000331
Provider NameWeiwei Li
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1871791210
PECOS PAC ID: 5193861292
Enrollment ID: I20091002000398
Provider NameJennifer Elizabeth Kintzle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427021617
PECOS PAC ID: 0941260673
Enrollment ID: I20091012000184
Provider NameCraig A Stark
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245212075
PECOS PAC ID: 9335286715
Enrollment ID: I20091019000143
Provider NameBente Y Hoegsberg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1760427041
PECOS PAC ID: 9133266935
Enrollment ID: I20091112000072
Provider NameLeenu Mishra
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588838841
PECOS PAC ID: 7618010687
Enrollment ID: I20100130000316
Provider NameKaren L Drake
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083688568
PECOS PAC ID: 5991849200
Enrollment ID: I20100224000136
Provider NameRobert D Rondinelli
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1679552327
PECOS PAC ID: 6800930140
Enrollment ID: I20100224000423
Provider NameErnst F Hoffman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871665612
PECOS PAC ID: 1456496975
Enrollment ID: I20100308000646
Provider NameMichelle L Hunerdosse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578574687
PECOS PAC ID: 0648306720
Enrollment ID: I20100327000565
Provider NameLisa A Veach
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1043217748
PECOS PAC ID: 5092842625
Enrollment ID: I20100429000924
Provider NameLynn K Struck
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1750369344
PECOS PAC ID: 3870620404
Enrollment ID: I20100429000964
Provider NameRoger L Harvey
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1235137845
PECOS PAC ID: 0941337570
Enrollment ID: I20100429000987
Provider NameCornelius J Gucfa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942274626
PECOS PAC ID: 9032240015
Enrollment ID: I20100708000814
Provider NameKen L Cheyne
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053305086
PECOS PAC ID: 8224162839
Enrollment ID: I20100818000824
Provider NameLeyla A Best Bandenay
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1003074931
PECOS PAC ID: 3577697879
Enrollment ID: I20100820000935
Provider NameTeresa P Monsod Borromeo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326236316
PECOS PAC ID: 7618092941
Enrollment ID: I20100910000035
Provider NameAmy E Shriver
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639225311
PECOS PAC ID: 7012032360
Enrollment ID: I20100910000264
Provider NameJill M Jasper
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821058868
PECOS PAC ID: 8426058256
Enrollment ID: I20100910001129
Provider NameGary A Yuille
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740344357
PECOS PAC ID: 0547385551
Enrollment ID: I20100914001344
Provider NameChristopher A Rokes
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1992037931
PECOS PAC ID: 3870618762
Enrollment ID: I20100915001041
Provider NameLisa M Glantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790967081
PECOS PAC ID: 8628193158
Enrollment ID: I20100921000316
Provider NameMichael L Line
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881779684
PECOS PAC ID: 9335242163
Enrollment ID: I20100921000853
Provider NameWendy L Woods Swafford
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598812307
PECOS PAC ID: 3274658745
Enrollment ID: I20100921000872
Provider NameDebra Ann Downing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427376219
PECOS PAC ID: 5991821233
Enrollment ID: I20100924000064
Provider NameMegan L Overton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396926671
PECOS PAC ID: 4486770278
Enrollment ID: I20100929001189
Provider NameTeresa J Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811134455
PECOS PAC ID: 6305038407
Enrollment ID: I20101007000824
Provider NameLisa M Jansen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255644233
PECOS PAC ID: 8527253350
Enrollment ID: I20101105001209
Provider NameCatherine P Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750698833
PECOS PAC ID: 3779778394
Enrollment ID: I20101109000993
Provider NameBradley J Riley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043298565
PECOS PAC ID: 7517152093
Enrollment ID: I20101110000191
Provider NameJennifer N Blume
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407166473
PECOS PAC ID: 0244426377
Enrollment ID: I20101201000160
Provider NameJodie R Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558696104
PECOS PAC ID: 1557558384
Enrollment ID: I20101206001284
Provider NameCarissa L Scheve
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790969715
PECOS PAC ID: 8527243021
Enrollment ID: I20110427000399
Provider NameNicholas J Fustino
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891952552
PECOS PAC ID: 4284803917
Enrollment ID: I20110812000650
Provider NameAmy M Groen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821078940
PECOS PAC ID: 1456520915
Enrollment ID: I20110818000108
Provider NameNathan R Noble
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407836513
PECOS PAC ID: 2860650751
Enrollment ID: I20120223000454
Provider NameElizabeth A Mccleary
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1396041927
PECOS PAC ID: 4789844408
Enrollment ID: I20120404000286
Provider NameKerri L Patton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457303653
PECOS PAC ID: 2567526023
Enrollment ID: I20120502000648
Provider NameColette J Henningsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336413780
PECOS PAC ID: 1153584974
Enrollment ID: I20120515000257
Provider NameLeslie R Fenimore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134485998
PECOS PAC ID: 8527221647
Enrollment ID: I20120529000315
Provider NameChristopher Bernard Komanapalli
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1194894519
PECOS PAC ID: 8022201789
Enrollment ID: I20120706000275
Provider NameJanice A Landy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275507022
PECOS PAC ID: 7618007238
Enrollment ID: I20120820000622
Provider NameTravis E Kain
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477715738
PECOS PAC ID: 1052568151
Enrollment ID: I20120824000299
Provider NameAmy Moberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700012986
PECOS PAC ID: 5496902504
Enrollment ID: I20120824000330
Provider NameClint R Hawthorne
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154559912
PECOS PAC ID: 2264681766
Enrollment ID: I20120926000756
Provider NameAlladdin Abosaida
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376777524
PECOS PAC ID: 1052561503
Enrollment ID: I20121018000752
Provider NameMaria S Ogden
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043286446
PECOS PAC ID: 1850542515
Enrollment ID: I20121107000037
Provider NameKimberly L Burrier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184852311
PECOS PAC ID: 0840438156
Enrollment ID: I20130528000624
Provider NameEduardo J Carlin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700080538
PECOS PAC ID: 8628211893
Enrollment ID: I20130909000256
Provider NameCindy S Pontious
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770925935
PECOS PAC ID: 0648404848
Enrollment ID: I20131001000201
Provider NameMario Matos-cruz
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1588868616
PECOS PAC ID: 9931011293
Enrollment ID: I20131007001061
Provider NameEduardo Sebastian Antezano
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447363486
PECOS PAC ID: 3375783335
Enrollment ID: I20131015002073
Provider NameJamie L Piotrowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013359132
PECOS PAC ID: 1951536820
Enrollment ID: I20131030001616
Provider NameKristin R Schroeder
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336460310
PECOS PAC ID: 1658507652
Enrollment ID: I20131121001636
Provider NameKang Yu K Lee Son
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1487083911
PECOS PAC ID: 8820226780
Enrollment ID: I20140122001881
Provider NameLisa I Hardisty
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013112424
PECOS PAC ID: 9133317514
Enrollment ID: I20140205000706
Provider NameLeslie J Soyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790119170
PECOS PAC ID: 4284864828
Enrollment ID: I20140227001999
Provider NameNicole A Wagaman
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1689011405
PECOS PAC ID: 8820229222
Enrollment ID: I20140328000479
Provider NameMichelle M Ewest
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215223847
PECOS PAC ID: 3173766953
Enrollment ID: I20140430001068
Provider NameSarah M Seehase
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528360856
PECOS PAC ID: 8123269198
Enrollment ID: I20140506000821
Provider NameAmy M Ferguson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588976237
PECOS PAC ID: 6204064918
Enrollment ID: I20140606001899
Provider NameArshin Sheybani
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1407082712
PECOS PAC ID: 6406093673
Enrollment ID: I20140702000611
Provider NameKristin A Rice
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154529022
PECOS PAC ID: 0840424974
Enrollment ID: I20140708001668
Provider NameChristopher Alex S Kabriel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942596572
PECOS PAC ID: 8820231772
Enrollment ID: I20140722002391
Provider NameMelissa A Lipovac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336554286
PECOS PAC ID: 8224256086
Enrollment ID: I20140820001917
Provider NameKimberly N Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316356496
PECOS PAC ID: 8729206883
Enrollment ID: I20140902002072
Provider NameNicholas H Kluesner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245599711
PECOS PAC ID: 5698913416
Enrollment ID: I20140905001842
Provider NameTharwat Stewart Fouad Boulis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356501340
PECOS PAC ID: 9739245945
Enrollment ID: I20140916000719
Provider NameAlexander M Wittry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104110931
PECOS PAC ID: 5991945933
Enrollment ID: I20140918001441
Provider NameAshlea A Lem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225446313
PECOS PAC ID: 5294954483
Enrollment ID: I20140922000486
Provider NameDanielle N Brodersen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407250830
PECOS PAC ID: 1355563768
Enrollment ID: I20141118002562
Provider NameVeena Ramachandran
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144495987
PECOS PAC ID: 0143544528
Enrollment ID: I20150112001935
Provider NameAnthony E Magalski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174508014
PECOS PAC ID: 6002837523
Enrollment ID: I20150210000927
Provider NameKimberley Dawn Magalski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467438978
PECOS PAC ID: 6002822566
Enrollment ID: I20150210002140
Provider NameRebecca Lynn Fox
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265785083
PECOS PAC ID: 4082931100
Enrollment ID: I20150327002201
Provider NameDavid A Terrero Salcedo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1013282953
PECOS PAC ID: 3072830983
Enrollment ID: I20150401002465
Provider NameBlake C Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245624626
PECOS PAC ID: 1658690458
Enrollment ID: I20150429000387
Provider NameRatna P Gangi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
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PECOS PAC ID: 4880092048
Enrollment ID: I20211004000138
Provider NameGabrielle Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659045441
PECOS PAC ID: 4385042555
Enrollment ID: I20211004000391
Provider NameJill E Bartlett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366015547
PECOS PAC ID: 7214335116
Enrollment ID: I20211007000428
Provider NameAllison K Kim
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538650809
PECOS PAC ID: 8527456813
Enrollment ID: I20211019000203
Provider NameTalha A. Farid
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1396090353
PECOS PAC ID: 0042614190
Enrollment ID: I20211202001314
Provider NameKailey Rae Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073282570
PECOS PAC ID: 5395135156
Enrollment ID: I20211209001617
Provider NameKelsey Nicole Madesen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306514237
PECOS PAC ID: 5496145203
Enrollment ID: I20211210000919
Provider NameAlvise Fileno Bernabei
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588679013
PECOS PAC ID: 0941218507
Enrollment ID: I20211221002056
Provider NameBrooke Donahue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093479396
PECOS PAC ID: 0042601296
Enrollment ID: I20211222001202
Provider NameJosie Michelle Rutherford
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1770249054
PECOS PAC ID: 8123410750
Enrollment ID: I20220111002465
Provider NameSumita Gyawali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356001507
PECOS PAC ID: 8527451202
Enrollment ID: I20220201000757
Provider NameMathieu Levesque
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639833601
PECOS PAC ID: 4385037035
Enrollment ID: I20220202000944
Provider NameLindsey Steele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407523566
PECOS PAC ID: 8224421268
Enrollment ID: I20220215001466
Provider NameKayla Lawrance
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639610603
PECOS PAC ID: 8628489739
Enrollment ID: I20220318000659
Provider NameJordyn Lee Wiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023688215
PECOS PAC ID: 5092101451
Enrollment ID: I20220412000559
Provider NameMargaret Koos
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952715427
PECOS PAC ID: 2163648049
Enrollment ID: I20220413001593
Provider NameEdward Rojas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154700268
PECOS PAC ID: 9133543754
Enrollment ID: I20220525001292
Provider NameAhmad Alsalman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831645704
PECOS PAC ID: 4880980903
Enrollment ID: I20220613000557
Provider NameAkshay Khatri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003267170
PECOS PAC ID: 7810224953
Enrollment ID: I20220614001000
Provider NameAmanda Privitera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306455563
PECOS PAC ID: 4082094644
Enrollment ID: I20220629002411
Provider NameJennifer Lynn Westly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619625902
PECOS PAC ID: 0042690414
Enrollment ID: I20220630002843
Provider NameHolly Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275836751
PECOS PAC ID: 8224283775
Enrollment ID: I20220705002468
Provider NameMeghan Ryan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093162075
PECOS PAC ID: 0143568493
Enrollment ID: I20220706002851
Provider NameJennifer Loftus Nystrom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326401068
PECOS PAC ID: 3870974348
Enrollment ID: I20220714001531
Provider NameJustine Pirozzi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518526904
PECOS PAC ID: 9133500697
Enrollment ID: I20220715000902
Provider NameSamantha Bonin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053056663
PECOS PAC ID: 0345621215
Enrollment ID: I20220724000003
Provider NameGrant C Perry
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245692417
PECOS PAC ID: 6002100872
Enrollment ID: I20220803000318
Provider NameNicholas Ryan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548680937
PECOS PAC ID: 3274839493
Enrollment ID: I20220805002386
Provider NameSara Jeglum
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1972126985
PECOS PAC ID: 6901204882
Enrollment ID: I20220805002588
Provider NameErica Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053040584
PECOS PAC ID: 9830572569
Enrollment ID: I20220812002951
Provider NameNicole Marie Bales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164155040
PECOS PAC ID: 8022490580
Enrollment ID: I20220822001653
Provider NameEllie M Conser
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538694641
PECOS PAC ID: 0244622025
Enrollment ID: I20220822003255
Provider NameKendall Stewardson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134681190
PECOS PAC ID: 6406183060
Enrollment ID: I20220916000201
Provider NameKylie Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467172312
PECOS PAC ID: 6305222027
Enrollment ID: I20221004002421
Provider NameFaith Thompson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134788847
PECOS PAC ID: 3375919392
Enrollment ID: I20221017001785
Provider NameWendelin Kreifels
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205299252
PECOS PAC ID: 5193017374
Enrollment ID: I20221024000156
Provider NameNash Whitaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346685641
PECOS PAC ID: 9032359963
Enrollment ID: I20221026000254
Provider NameYosef Greenspon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942364690
PECOS PAC ID: 3577665090
Enrollment ID: I20221110001062
Provider NameKelsie Scaringe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811667330
PECOS PAC ID: 8022416262
Enrollment ID: I20221208000199
Provider NameStacey Stallman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700433497
PECOS PAC ID: 9335519750
Enrollment ID: I20221229002352
Provider NameAllyson Van Sant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861109894
PECOS PAC ID: 6002286895
Enrollment ID: I20230112002553
Provider NameSylena Danielle Blanchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194442129
PECOS PAC ID: 2062883572
Enrollment ID: I20230120000443
Provider NameNatalie Bridge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992328439
PECOS PAC ID: 2668895434
Enrollment ID: I20230120001097
Provider NameAlexa K Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801463302
PECOS PAC ID: 5092191049
Enrollment ID: I20230124002697
Provider NameMackenzie Lees
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558076471
PECOS PAC ID: 5698146751
Enrollment ID: I20230127001360
Provider NameMichael Jeffrey Leinwand
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447230032
PECOS PAC ID: 9537192711
Enrollment ID: I20230130000490
Provider NameClaire Murray
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609239953
PECOS PAC ID: 8729313713
Enrollment ID: I20230329002233
Provider NameMadeline Marie Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215512041
PECOS PAC ID: 0547635666
Enrollment ID: I20230403002162
Provider NameNaftali Presser
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1124314919
PECOS PAC ID: 5496056335
Enrollment ID: I20230419001024
Provider NameJerris-stephanie Okonkwo
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710418959
PECOS PAC ID: 4284007394
Enrollment ID: I20230419001033
Provider NameDanielle N Weller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427758622
PECOS PAC ID: 7416312616
Enrollment ID: I20230421001874
Provider NameMiranda Rebecca Temple
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740989920
PECOS PAC ID: 1254796097
Enrollment ID: I20230428002376
Provider NameKelly Schifsky
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215375308
PECOS PAC ID: 4587899869
Enrollment ID: I20230504001111
Provider NameJustin C Bohrer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1114155041
PECOS PAC ID: 7113163478
Enrollment ID: I20230523002293
Provider NameSaif Al-adwan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851849848
PECOS PAC ID: 4789041187
Enrollment ID: I20230530002586
Provider NameJeffrey Pence
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629063722
PECOS PAC ID: 6800184789
Enrollment ID: I20230606002441
Provider NameMichael Ganey
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306967534
PECOS PAC ID: 7113953498
Enrollment ID: I20230613000614
Provider NameWafic Itani
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700306024
PECOS PAC ID: 0345585279
Enrollment ID: I20230630000217
Provider NameAubrey Anderson Reese
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124641766
PECOS PAC ID: 0345609715
Enrollment ID: I20230703000330
Provider NameJuan Arenas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225191703
PECOS PAC ID: 1456322411
Enrollment ID: I20230710003167
Provider NameJessica Dotson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538521844
PECOS PAC ID: 3678845997
Enrollment ID: I20230718003652
Provider NameCrosby Rock
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1457849259
PECOS PAC ID: 7113252818
Enrollment ID: I20230718004186
Provider NameAaron Ballantyne
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447521901
PECOS PAC ID: 9830403583
Enrollment ID: I20230724002267
Provider NameAli Savage-hand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598442741
PECOS PAC ID: 5294197893
Enrollment ID: I20230814003602
Provider NameMegan Joy Dorfler
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1790463420
PECOS PAC ID: 1557724432
Enrollment ID: I20230824002870
Provider NameWalter Andrews
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1700836046
PECOS PAC ID: 3971543836
Enrollment ID: I20230829000416
Provider NameMatthew Alexander
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760895536
PECOS PAC ID: 3274750732
Enrollment ID: I20230830002910
Provider NameArian Jahansouz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245856517
PECOS PAC ID: 6608299763
Enrollment ID: I20230907000582
Provider NameEric D Polich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558986844
PECOS PAC ID: 2365869104
Enrollment ID: I20230913002845
Provider NameShilpi Relan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699018721
PECOS PAC ID: 7113356148
Enrollment ID: I20230915000596
Provider NameCollin James Thatcher
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245868017
PECOS PAC ID: 6103249032
Enrollment ID: I20230929000607
Provider NameAmy Elizabeth Blessing
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558095448
PECOS PAC ID: 0547615973
Enrollment ID: I20231004003645
Provider NameSerge Pierrecharles
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1609167980
PECOS PAC ID: 3375850852
Enrollment ID: I20231019001362
Provider NameTristan Boss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780468959
PECOS PAC ID: 6406202779
Enrollment ID: I20231023001269
Provider NameDimitri Boreisha
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164081584
PECOS PAC ID: 5890029250
Enrollment ID: I20231101001887
Provider NameSamuel Laney
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1861590358
PECOS PAC ID: 3678679115
Enrollment ID: I20231109002314
Provider NameTimothy Andrew Flynn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1487281085
PECOS PAC ID: 6901254572
Enrollment ID: I20231121002565
Provider NameBrian R Rath
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912247909
PECOS PAC ID: 0446608871
Enrollment ID: I20231127000756
Provider NameJohn Mark Pool
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1134338114
PECOS PAC ID: 5496818395
Enrollment ID: I20231127001897
Provider NameAndrew Dentzau
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942984745
PECOS PAC ID: 5799133880
Enrollment ID: I20231130000700
Provider NameDavid Depew
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326587700
PECOS PAC ID: 2769831890
Enrollment ID: I20231214000171
Provider NameMichelle R Collette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205503075
PECOS PAC ID: 7012367006
Enrollment ID: I20240103003119
Provider NameMatthew Dennis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417211210
PECOS PAC ID: 2769625623
Enrollment ID: I20240104003695
Provider NameRhonda Kay Idemmili
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700269370
PECOS PAC ID: 5395058382
Enrollment ID: I20240105000391
Provider NameAlexia Marie Chally
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558044412
PECOS PAC ID: 8022469816
Enrollment ID: I20240105001481
Provider NameElizabeth Spooner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356329205
PECOS PAC ID: 9638488216
Enrollment ID: I20240105003284
Provider NameEmily Betsworth
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477150803
PECOS PAC ID: 9739531260
Enrollment ID: I20240119001736
Provider NameAradia Fu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578855631
PECOS PAC ID: 7214249952
Enrollment ID: I20240125004143
Provider NameDanielle Anne Smith
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1679863542
PECOS PAC ID: 1951606979
Enrollment ID: I20240126003209
Provider NamePriya Sebastian Vadakkan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922877687
PECOS PAC ID: 8022451079
Enrollment ID: I20240207001751
Provider NameCorita Wheeler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144429143
PECOS PAC ID: 7416040183
Enrollment ID: I20240223000201
Provider NameKarolina Ogle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063288801
PECOS PAC ID: 5193162774
Enrollment ID: I20240319000165
Provider NameMarium Jamil
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1265954804
PECOS PAC ID: 4880098078
Enrollment ID: I20240322002385
Provider NameClinton Woosley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316952088
PECOS PAC ID: 9830172808
Enrollment ID: I20240411002014
Provider NameBesim Omer Uzgil
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578806691
PECOS PAC ID: 1153604897
Enrollment ID: I20240416003394
Provider NameAnthony Gregg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205890399
PECOS PAC ID: 8729058235
Enrollment ID: I20240424001458
Provider NameKeith K Ogasawara
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336240449
PECOS PAC ID: 9032396429
Enrollment ID: I20240508003842
Provider NameEli Becker
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1508858507
PECOS PAC ID: 7810956927
Enrollment ID: I20240513003243
Provider NameTaylor Donohue
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558982603
PECOS PAC ID: 1658770870
Enrollment ID: I20240521004120
Provider NameHamza Oglat
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1235650839
PECOS PAC ID: 2466797345
Enrollment ID: I20240530001795
Provider NameSusanna Leigh Bartel-kelso
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1407858764
PECOS PAC ID: 2466994603
Enrollment ID: I20240604000966
Provider NameKatherine Schultz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841686227
PECOS PAC ID: 5193015212
Enrollment ID: I20240611000674
Provider NameRaven Beck
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043888787
PECOS PAC ID: 3375087828
Enrollment ID: I20240626000941
Provider NameKyle Gollon
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1154958817
PECOS PAC ID: 4082037528
Enrollment ID: I20240712003147
Provider NameColten J Moore
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205689791
PECOS PAC ID: 4385189257
Enrollment ID: I20240716000697
Provider NameDavid Wang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972063709
PECOS PAC ID: 0345575650
Enrollment ID: I20240723000672
Provider NameCasie J Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770324220
PECOS PAC ID: 8921544297
Enrollment ID: I20240723001578
Provider NameLeah Lingren
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942949185
PECOS PAC ID: 7810434610
Enrollment ID: I20240729004222
Provider NameMeera Naidu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174628226
PECOS PAC ID: 1456413830
Enrollment ID: I20240730001503
Provider NameDevon Do Stevens
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891133823
PECOS PAC ID: 4284970781
Enrollment ID: I20240805001984
Provider NameMaria G Parra Villasmil
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316435399
PECOS PAC ID: 5193071421
Enrollment ID: I20240823003916
Provider NameHeather D Beister
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346733037
PECOS PAC ID: 6103365952
Enrollment ID: I20240826001407
Provider NameMadeline Elizabeth Burma
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598426231
PECOS PAC ID: 5890234462
Enrollment ID: I20240827002516
Provider NameJennifer Myaeng
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467890798
PECOS PAC ID: 1951711852
Enrollment ID: I20240828003287
Provider NameAbby Michelle Richards
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700622859
PECOS PAC ID: 4082154745
Enrollment ID: I20240909001776
Provider NameBreanna Tangen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912575606
PECOS PAC ID: 7517407208
Enrollment ID: I20240909003140
Provider NameTrent Howard
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1851686091
PECOS PAC ID: 0042114084
Enrollment ID: I20240917004570
Provider NameHannah Nielsen
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073121729
PECOS PAC ID: 8022433242
Enrollment ID: I20240923002281
Provider NameLaci Jaye Darby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730912650
PECOS PAC ID: 9335671387
Enrollment ID: I20241015002051
Provider NameSelena Rose Sampson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992522932
PECOS PAC ID: 4183159429
Enrollment ID: I20241125000685
Provider NameDaniel Arndt
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245499961
PECOS PAC ID: 1153470422
Enrollment ID: I20241126002990
Provider NameKay Louise Beer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952135717
PECOS PAC ID: 0244766301
Enrollment ID: I20241212001253
Provider NameHope Voto
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1972747418
PECOS PAC ID: 2567776651
Enrollment ID: I20241212001515
Provider NameMuna Kilani
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275638918
PECOS PAC ID: 0345218731
Enrollment ID: I20241213000611
Provider NameCandace Correa
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1952420671
PECOS PAC ID: 9032301650
Enrollment ID: I20241216001958
Provider NameAna Quintero
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366073389
PECOS PAC ID: 9638599020
Enrollment ID: I20241223000250
Provider NameBrittany Rose Feltner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558187039
PECOS PAC ID: 6800324815
Enrollment ID: I20250103001675
Provider NameChristine C Nkemeh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841671542
PECOS PAC ID: 2163735200
Enrollment ID: I20250113000391
Provider NameJohn Peacock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780213926
PECOS PAC ID: 2860814100
Enrollment ID: I20250211001221
Provider NameKipp Chillag
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518931245
PECOS PAC ID: 1052471844
Enrollment ID: I20250224000074
Provider NameElizabeth Winke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184388621
PECOS PAC ID: 6608398458
Enrollment ID: I20250320003513
Provider NameLucie V Moravia
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538443411
PECOS PAC ID: 5597930305
Enrollment ID: I20250505002782
Provider NameYiting Yang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1508122318
PECOS PAC ID: 7315166626
Enrollment ID: I20250507002059
Provider NameMarc Cullen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659371326
PECOS PAC ID: 5395642201
Enrollment ID: I20250529001992

Reviews and Comments

Family Medicine in Des Moines, IA

Mercy Clinics, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1111 6th Ave, East Tower Suite A100, Des Moines, IA 50314
Phone: 515-358-0011    Fax: 515-358-0099
Multicultural Institute Of Therapeutic Excellence
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4313 University Ave, Des Moines, IA 50311
Phone: 515-802-2487    
Guided Journeys Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2601 E 40th St, Des Moines, IA 50317
Phone: 515-218-7220    
Wellness Works Counseling Services Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4507 Twana Dr, Des Moines, IA 50310
Phone: 515-339-3993    
Point Of Freedom Therapy Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2708 Grand Ave, Des Moines, IA 50312
Phone: 515-778-4592    
Project Batman, Llc. Dba Inner Space
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1251 Keosauqua Way, Des Moines, IA 50309
Phone: 515-630-0210    
Silver Linings Counseling
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 601 E Locust St Ste 204, Des Moines, IA 50309
Phone: 515-978-1085    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.