| Eventus Wholehealth Midwest Inc | |
|
2100 Midway St # 3722 Columbus IN 47201-3722 | |
| (260) 483-9081 | |
| (260) 483-9196 |
| Full Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 Midway St # 3722, Columbus, Indiana |
| Authorized Official Name and Position | Jennifer Rucci (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wholehealth Midwest Inc Po Box 1000 Dept 3063 Memphis TN 38148-0001 Ph: (855) 743-2247 | Eventus Wholehealth Midwest Inc 2100 Midway St # 3722 Columbus IN 47201-3722 Ph: (260) 483-9081 |
| NPI Number | 1386252757 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4183040470 |
|---|---|
| Medicare Enrollment ID | O20200818000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386252757 | NPI | - | NPPES |
| Provider Name | Bikash Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093700825 PECOS PAC ID: 0547258246 Enrollment ID: I20040503000716 |
| Provider Name | Susan K Halley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716312 PECOS PAC ID: 0941271241 Enrollment ID: I20040802000840 |
| Provider Name | Kelly Jo Trieglaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508991902 PECOS PAC ID: 2668449539 Enrollment ID: I20040911000186 |
| Provider Name | Joyce Mcmahon Palmateer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700867058 PECOS PAC ID: 9739148891 Enrollment ID: I20041005001207 |
| Provider Name | Vahid-david Sedaghat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584043 PECOS PAC ID: 5496714941 Enrollment ID: I20041008000991 |
| Provider Name | John Bisbee Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790709103 PECOS PAC ID: 5698735785 Enrollment ID: I20041016000185 |
| Provider Name | Mary Catherine Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386661064 PECOS PAC ID: 3971558222 Enrollment ID: I20050322000064 |
| Provider Name | Steven Delee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407845001 PECOS PAC ID: 1658329461 Enrollment ID: I20050621001018 |
| Provider Name | Thomas P Van Den Driessche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073507745 PECOS PAC ID: 3678592292 Enrollment ID: I20051114000365 |
| Provider Name | Donald Wolfram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669499257 PECOS PAC ID: 7113020009 Enrollment ID: I20070314000177 |
| Provider Name | Marwan Mustaklem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20070327000115 |
| Provider Name | Ruth Marie Poppele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851375364 PECOS PAC ID: 0345340477 Enrollment ID: I20070703000073 |
| Provider Name | Tabitha Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962584375 PECOS PAC ID: 5991896904 Enrollment ID: I20070806000537 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Linda K Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881897353 PECOS PAC ID: 4789742214 Enrollment ID: I20081027000833 |
| Provider Name | Paul T Kaplanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497860167 PECOS PAC ID: 4981767696 Enrollment ID: I20090107000089 |
| Provider Name | Kristi S Buis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205088283 PECOS PAC ID: 2163571092 Enrollment ID: I20090522000220 |
| Provider Name | Charles M Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20090928000065 |
| Provider Name | Cheryl Davis-land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740335702 PECOS PAC ID: 8921147596 Enrollment ID: I20091120000563 |
| Provider Name | Kimberly J Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700993441 PECOS PAC ID: 5799837597 Enrollment ID: I20091222000720 |
| Provider Name | Nina Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497730535 PECOS PAC ID: 0042353229 Enrollment ID: I20100210000516 |
| Provider Name | Ashley M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386875094 PECOS PAC ID: 8426180258 Enrollment ID: I20100714000830 |
| Provider Name | Kelly J Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20101119000196 |
| Provider Name | Lisa J Omo Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629399696 PECOS PAC ID: 6709072853 Enrollment ID: I20101201000449 |
| Provider Name | Rachel Renee Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356675409 PECOS PAC ID: 9436291655 Enrollment ID: I20101206000547 |
| Provider Name | Michelle A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366621484 PECOS PAC ID: 6103008750 Enrollment ID: I20110303000467 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Amy M Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760764351 PECOS PAC ID: 7315118353 Enrollment ID: I20110922000375 |
| Provider Name | Tina L Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083632616 PECOS PAC ID: 4587640909 Enrollment ID: I20111104000575 |
| Provider Name | Johnell J Treesh Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417256702 PECOS PAC ID: 6305004417 Enrollment ID: I20120221000583 |
| Provider Name | Julienne E Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972762516 PECOS PAC ID: 8224298641 Enrollment ID: I20120322000204 |
| Provider Name | Marin Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962639492 PECOS PAC ID: 0042496226 Enrollment ID: I20120803000180 |
| Provider Name | Kimberly A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225387400 PECOS PAC ID: 3274782156 Enrollment ID: I20121009000813 |
| Provider Name | Natalie S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730429994 PECOS PAC ID: 4082851464 Enrollment ID: I20130501000467 |
| Provider Name | Michelle M Diss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497198568 PECOS PAC ID: 9537307400 Enrollment ID: I20130605000052 |
| Provider Name | Kimberly Schoengart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300060 PECOS PAC ID: 7719128750 Enrollment ID: I20130802000295 |
| Provider Name | Richard Lamar Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336410703 PECOS PAC ID: 7618102310 Enrollment ID: I20131106000267 |
| Provider Name | Stacey J Brames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932533742 PECOS PAC ID: 4183850654 Enrollment ID: I20131112001376 |
| Provider Name | Jennifer L Miskov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114263233 PECOS PAC ID: 1153566864 Enrollment ID: I20140814002079 |
| Provider Name | Susan M Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811276751 PECOS PAC ID: 9335461938 Enrollment ID: I20141210001633 |
| Provider Name | Jennifer J Krohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780083873 PECOS PAC ID: 9032439179 Enrollment ID: I20150513001586 |
| Provider Name | Cortney L Hendress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964407 PECOS PAC ID: 3870813256 Enrollment ID: I20150527000583 |
| Provider Name | Sarah Ellen Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262641 PECOS PAC ID: 5698080083 Enrollment ID: I20150813011438 |
| Provider Name | Bridgit Lee Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456454 PECOS PAC ID: 5294040283 Enrollment ID: I20150820009949 |
| Provider Name | Kourtney Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972910602 PECOS PAC ID: 6406163070 Enrollment ID: I20150915000105 |
| Provider Name | Geraldine Elizabeth Darkwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556267 PECOS PAC ID: 0648587709 Enrollment ID: I20150922002021 |
| Provider Name | Allison Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027785 PECOS PAC ID: 0941518187 Enrollment ID: I20151007002593 |
| Provider Name | Sheila M Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639557556 PECOS PAC ID: 1850600024 Enrollment ID: I20151029001036 |
| Provider Name | Phyllis Harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255787453 PECOS PAC ID: 1355632654 Enrollment ID: I20160616001026 |
| Provider Name | Jessica R Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972964484 PECOS PAC ID: 3577857655 Enrollment ID: I20160812000112 |
| Provider Name | Sara A Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378635 PECOS PAC ID: 9638466196 Enrollment ID: I20160927001252 |
| Provider Name | Amanda Jo Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757528 PECOS PAC ID: 8527355031 Enrollment ID: I20160928000112 |
| Provider Name | Carrie Lee Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295282267 PECOS PAC ID: 1557640422 Enrollment ID: I20161116002207 |
| Provider Name | Elisha Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407122351 PECOS PAC ID: 5193989085 Enrollment ID: I20161205000180 |
| Provider Name | Cathryn Lynn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831231372 PECOS PAC ID: 5890868822 Enrollment ID: I20161213001463 |
| Provider Name | Amber N Handshoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073034500 PECOS PAC ID: 5496025611 Enrollment ID: I20170720003060 |
| Provider Name | Melissa L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649797655 PECOS PAC ID: 3577836626 Enrollment ID: I20170912000856 |
| Provider Name | Kimberly A Hadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697062 PECOS PAC ID: 0648248252 Enrollment ID: I20180718000268 |
| Provider Name | Robert A Cassady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407206824 PECOS PAC ID: 2860775848 Enrollment ID: I20180831000722 |
| Provider Name | Nadeem W Najam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181023002662 |
| Provider Name | Jennifer L Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548669112 PECOS PAC ID: 2264650340 Enrollment ID: I20181107000540 |
| Provider Name | Jenniffer Lee Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881160885 PECOS PAC ID: 7416841655 Enrollment ID: I20181204000811 |
| Provider Name | Julie Marie Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962970129 PECOS PAC ID: 5799028825 Enrollment ID: I20190513002548 |
| Provider Name | Nathan Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629636089 PECOS PAC ID: 3072849595 Enrollment ID: I20190722002400 |
| Provider Name | Deanna Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548828338 PECOS PAC ID: 9830425974 Enrollment ID: I20190726000247 |
| Provider Name | Kara E Younce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795913 PECOS PAC ID: 5092041137 Enrollment ID: I20190726000320 |
| Provider Name | Jennifer Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871832550 PECOS PAC ID: 3375870165 Enrollment ID: I20190816002299 |
| Provider Name | Todd Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923417 PECOS PAC ID: 2062742596 Enrollment ID: I20190926001855 |
| Provider Name | Casey Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154970879 PECOS PAC ID: 4880925619 Enrollment ID: I20191009002586 |
| Provider Name | Amber Nicole Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152114 PECOS PAC ID: 4880026772 Enrollment ID: I20191114001606 |
| Provider Name | Elizabeth Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164847372 PECOS PAC ID: 8729393160 Enrollment ID: I20191115001363 |
| Provider Name | Cortney Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063954451 PECOS PAC ID: 6800136508 Enrollment ID: I20191118000112 |
| Provider Name | Chanel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013536358 PECOS PAC ID: 1850721465 Enrollment ID: I20200422003195 |
| Provider Name | David M Jette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962036715 PECOS PAC ID: 2466883376 Enrollment ID: I20200508002542 |
| Provider Name | Madalene Beckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700408648 PECOS PAC ID: 2163843343 Enrollment ID: I20200526000132 |
| Provider Name | Nadine Alene Nufer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245853258 PECOS PAC ID: 3971924028 Enrollment ID: I20200528001722 |
| Provider Name | Bernadette Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497370019 PECOS PAC ID: 0244657419 Enrollment ID: I20200902001755 |
| Provider Name | Bambi Michelle Cardinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952915951 PECOS PAC ID: 7911318027 Enrollment ID: I20201120002233 |
| Provider Name | Kaitlin Overfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508468133 PECOS PAC ID: 8921411430 Enrollment ID: I20201230000356 |
| Provider Name | Timothy S Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851785 PECOS PAC ID: 6406264753 Enrollment ID: I20210426002532 |
| Provider Name | Carly Dearth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689249294 PECOS PAC ID: 9931500527 Enrollment ID: I20210702002363 |
| Provider Name | Brandy Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221859 PECOS PAC ID: 8022412857 Enrollment ID: I20210802001173 |
| Provider Name | Catherine Flem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699388942 PECOS PAC ID: 6002229325 Enrollment ID: I20210907002085 |
| Provider Name | Josephine Mwachande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073184206 PECOS PAC ID: 0143618645 Enrollment ID: I20211103000906 |
| Provider Name | Jared Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790454650 PECOS PAC ID: 4284023086 Enrollment ID: I20211117001103 |
| Provider Name | Kaylyn Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968160 PECOS PAC ID: 4284025289 Enrollment ID: I20211230001290 |
| Provider Name | Jenille L. Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215599758 PECOS PAC ID: 2365835113 Enrollment ID: I20220131001988 |
| Provider Name | Rebecca Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790325504 PECOS PAC ID: 0547655664 Enrollment ID: I20220328000213 |
| Provider Name | Lindsey Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447911615 PECOS PAC ID: 3577959782 Enrollment ID: I20220414001830 |
| Provider Name | Leann J Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114678869 PECOS PAC ID: 7618356932 Enrollment ID: I20220616001907 |
| Provider Name | Jessica Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028565 PECOS PAC ID: 5991186942 Enrollment ID: I20220721002430 |
| Provider Name | Cassandra Lynn Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218299 PECOS PAC ID: 2769867308 Enrollment ID: I20220916002419 |
| Provider Name | Taryn Fernandes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508396292 PECOS PAC ID: 6406248947 Enrollment ID: I20221026001833 |
| Provider Name | Tabitha Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316394406 PECOS PAC ID: 4789977000 Enrollment ID: I20221031001110 |
| Provider Name | Sarah Poag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982325676 PECOS PAC ID: 6406223395 Enrollment ID: I20221107000813 |
| Provider Name | Mindy A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063122273 PECOS PAC ID: 9335519388 Enrollment ID: I20230109000385 |
| Provider Name | Zeinab Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053024182 PECOS PAC ID: 4981075215 Enrollment ID: I20230125001313 |
| Provider Name | Chelsea Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265143622 PECOS PAC ID: 2163894916 Enrollment ID: I20230206000237 |
| Provider Name | Elizabeth Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376288894 PECOS PAC ID: 9830577790 Enrollment ID: I20230303002060 |
| Provider Name | Ton Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225689359 PECOS PAC ID: 9133598600 Enrollment ID: I20230307001180 |
| Provider Name | Douglas Mukorombindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326764127 PECOS PAC ID: 8527431865 Enrollment ID: I20230307001255 |
| Provider Name | Robert Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093421349 PECOS PAC ID: 4486028149 Enrollment ID: I20230320001430 |
| Provider Name | Ashleigh Denise Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274906 PECOS PAC ID: 3072988484 Enrollment ID: I20230417000357 |
| Provider Name | Marlene Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205442 PECOS PAC ID: 1254569643 Enrollment ID: I20230512000203 |
| Provider Name | Kelsey Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700575867 PECOS PAC ID: 2769848480 Enrollment ID: I20230522002369 |
| Provider Name | Elizabeth Barnhill-blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275006 PECOS PAC ID: 1850721374 Enrollment ID: I20230612000774 |
| Provider Name | Pamela Nubong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891436481 PECOS PAC ID: 3779942925 Enrollment ID: I20230706000528 |
| Provider Name | Sonya Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770267551 PECOS PAC ID: 1052771524 Enrollment ID: I20230714003069 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20230721001815 |
| Provider Name | Chendra Dikko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134847 PECOS PAC ID: 5092108738 Enrollment ID: I20230721002186 |
| Provider Name | Jodi Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104411875 PECOS PAC ID: 7214345289 Enrollment ID: I20230804002241 |
| Provider Name | Ashley B Walorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457032518 PECOS PAC ID: 1052774247 Enrollment ID: I20230906001748 |
| Provider Name | Brandy Monique Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225716988 PECOS PAC ID: 2365806247 Enrollment ID: I20230911002741 |
| Provider Name | Molly Salmonsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943799 PECOS PAC ID: 1254745367 Enrollment ID: I20230923000271 |
| Provider Name | Sushila Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801679543 PECOS PAC ID: 3971959693 Enrollment ID: I20231031003211 |
| Provider Name | Sara Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831879055 PECOS PAC ID: 1355703950 Enrollment ID: I20231108003518 |
| Provider Name | Stephanie Marie Yeakle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558142323 PECOS PAC ID: 3779931936 Enrollment ID: I20231128003072 |
| Provider Name | Margaret Miru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326827916 PECOS PAC ID: 0446609259 Enrollment ID: I20231205002868 |
| Provider Name | Amber Adcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629422886 PECOS PAC ID: 7214225341 Enrollment ID: I20240109002284 |
| Provider Name | Rhonda Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144769936 PECOS PAC ID: 4284087420 Enrollment ID: I20240124002475 |
| Provider Name | Marion Nyaguthii Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912785643 PECOS PAC ID: 4688804925 Enrollment ID: I20240125002517 |
| Provider Name | Cheryl Lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942061262 PECOS PAC ID: 7719320845 Enrollment ID: I20240206002419 |
| Provider Name | Mary Nguru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894454 PECOS PAC ID: 1759728678 Enrollment ID: I20240327000530 |
| Provider Name | Victor Zindoga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871350744 PECOS PAC ID: 3173960028 Enrollment ID: I20240327001492 |
| Provider Name | Jessica Diane Sajdyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558124180 PECOS PAC ID: 3072952720 Enrollment ID: I20240415003154 |
| Provider Name | Jodi Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649981671 PECOS PAC ID: 4587034038 Enrollment ID: I20240416002745 |
| Provider Name | Amanda Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891561585 PECOS PAC ID: 4486091162 Enrollment ID: I20240507003025 |
| Provider Name | Lorrie Nein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356044713 PECOS PAC ID: 7214396084 Enrollment ID: I20240507003329 |
| Provider Name | Allison Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194581967 PECOS PAC ID: 1850733650 Enrollment ID: I20240524001177 |
| Provider Name | Olivia Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588403414 PECOS PAC ID: 9133663628 Enrollment ID: I20240625003475 |
| Provider Name | Amanda Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700626231 PECOS PAC ID: 2860936119 Enrollment ID: I20240627003707 |
| Provider Name | Tasha Renee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003655150 PECOS PAC ID: 3476090879 Enrollment ID: I20240802002213 |
| Provider Name | Cecilia B. Gichaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215635735 PECOS PAC ID: 7719425271 Enrollment ID: I20240814004287 |
| Provider Name | Melissa Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730926833 PECOS PAC ID: 3476091539 Enrollment ID: I20240820003098 |
| Provider Name | Ronica Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780412783 PECOS PAC ID: 7416498647 Enrollment ID: I20240916001584 |
| Provider Name | Samantha T Suttles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205674058 PECOS PAC ID: 7517499155 Enrollment ID: I20241021001530 |
| Provider Name | Alina Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629507587 PECOS PAC ID: 8729406657 Enrollment ID: I20241114002498 |
| Provider Name | Nicole Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467279364 PECOS PAC ID: 2163957077 Enrollment ID: I20241129000233 |
| Provider Name | Elizabeth Holzhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669296380 PECOS PAC ID: 1052848355 Enrollment ID: I20241227001545 |
Daily Life Coaching, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Salzburg Blvd Apt G, Columbus, IN 47201 Phone: 812-374-8088 | |
Nancy K Merbitz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Beechtree Dr, Columbus, IN 47203 Phone: 708-567-6778 Fax: 812-799-3954 | |
The System Of Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Lafayette Ave., Columbus, IN 47201 Phone: 812-371-6044 Fax: 812-314-4962 | |
Quinco Consulting Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Marr Rd, Fresh Start Azalia, Columbus, IN 47201 Phone: 812-579-5574 Fax: 812-579-6798 | |
Physicians Practice Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 N Gladstone Ave Ste A, Columbus, IN 47201 Phone: 812-376-3100 Fax: 812-378-6191 | |
The Academic Achievement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Doctors Park Dr, Columbus, IN 47203 Phone: 812-350-0482 | |
Columbus Regional Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-379-4441 Fax: 812-376-5963 |