| Holistic Wellness Solutions LLC | |
|
4770 Indianola Ave Ste 107 Columbus OH 43214-1862 | |
| (614) 371-2303 | |
| (800) 905-9950 |
| Full Name | Holistic Wellness Solutions LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4770 Indianola Ave Ste 107, Columbus, Ohio |
| Authorized Official Name and Position | Alicja Matusiak (OWNER/PROVIDER) |
| Authorized Official Contact | 6143712303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Wellness Solutions LLC 4770 Indianola Ave Ste 107 Columbus OH 43214-1862 Ph: (614) 371-2303 | Holistic Wellness Solutions LLC 4770 Indianola Ave Ste 107 Columbus OH 43214-1862 Ph: (614) 371-2303 |
| NPI Number | 1063932119 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 6002243755 |
|---|---|
| Medicare Enrollment ID | O20200219001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063932119 | NPI | - | NPPES |
| 0387861 | Medicaid | OH |
| Provider Name | Angela B Wallenbrock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215907332 PECOS PAC ID: 0547173668 Enrollment ID: I20031106000063 |
| Provider Name | Angel L Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255370714 PECOS PAC ID: 4284620527 Enrollment ID: I20040422000855 |
| Provider Name | Alicja Matusiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174757678 PECOS PAC ID: 1153469978 Enrollment ID: I20091113000564 |
| Provider Name | Nancy Kramer Palnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124360607 PECOS PAC ID: 8820212541 Enrollment ID: I20140618001989 |
| Provider Name | Alicja Matusiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174757678 PECOS PAC ID: 1153469978 Enrollment ID: I20200428000775 |
| Provider Name | Jennifer Stegmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366914764 PECOS PAC ID: 3779917349 Enrollment ID: I20200504002800 |
| Provider Name | Andrea Poet Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649890898 PECOS PAC ID: 6608296819 Enrollment ID: I20201008002421 |
| Provider Name | Jordan Nichole Dellinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114583812 PECOS PAC ID: 2567848641 Enrollment ID: I20220927001094 |
| Provider Name | Julia Kay Ailts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881375061 PECOS PAC ID: 7315397239 Enrollment ID: I20231219000874 |
| Provider Name | Marisol Sedore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073863759 PECOS PAC ID: 0345762563 Enrollment ID: I20250318000588 |
| Provider Name | Margo Louise Tillstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558003012 PECOS PAC ID: 5092204149 Enrollment ID: I20251029001295 |
| Provider Name | Wesley Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497638647 PECOS PAC ID: 2567968316 Enrollment ID: I20251121000198 |
| Provider Name | Alexa Skal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932920923 PECOS PAC ID: 5395225353 Enrollment ID: I20260218000498 |
| Provider Name | Angela Rinaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609680362 PECOS PAC ID: 1153892419 Enrollment ID: I20260608001884 |
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