| Mercy Virtual | |
|
15740 S Outer 40 Rd Chesterfield MO 63017-2004 | |
| (636) 237-4200 | |
| Not Available |
| Full Name | Mercy Virtual |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15740 S Outer 40 Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Bridget Cafazza (VP -VALUE FORCASTING & REV ANALYSIS) |
| Authorized Official Contact | 6362374151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Virtual 15740 S Outer 40 Rd Chesterfield MO 63017-2004 | Mercy Virtual 15740 S Outer 40 Rd Chesterfield MO 63017-2004 Ph: (636) 237-4200 |
| NPI Number | 1063965093 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Medicare PECOS PAC ID | 6901188572 |
|---|---|
| Medicare Enrollment ID | O20170117001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063965093 | NPI | - | NPPES |
| Provider Name | Kyeong P Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770511271 PECOS PAC ID: 8820900970 Enrollment ID: I20031105000644 |
| Provider Name | Michael Scott Plisco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861432049 PECOS PAC ID: 7911895503 Enrollment ID: I20040305000729 |
| Provider Name | William R Logan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750311395 PECOS PAC ID: 4789575085 Enrollment ID: I20040324000993 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20040429000783 |
| Provider Name | Laishang Peter Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235143942 PECOS PAC ID: 7719974682 Enrollment ID: I20040430000804 |
| Provider Name | Krista D Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881632990 PECOS PAC ID: 8123006962 Enrollment ID: I20040709000078 |
| Provider Name | Damon Broyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856396 PECOS PAC ID: 2466421516 Enrollment ID: I20040927000568 |
| Provider Name | Farid Ghassan Sadaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144337411 PECOS PAC ID: 1759342819 Enrollment ID: I20041021000826 |
| Provider Name | Syed Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366428286 PECOS PAC ID: 6507820230 Enrollment ID: I20041112000932 |
| Provider Name | Robert Corley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427004829 PECOS PAC ID: 0840242616 Enrollment ID: I20050221000350 |
| Provider Name | Richard K Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285621847 PECOS PAC ID: 3072554567 Enrollment ID: I20050516000029 |
| Provider Name | Michael Jay Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334860 PECOS PAC ID: 9830126945 Enrollment ID: I20050720000725 |
| Provider Name | Steven Joseph Trottier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699832923 PECOS PAC ID: 6305875675 Enrollment ID: I20050808000039 |
| Provider Name | Robert Scott Duff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265475727 PECOS PAC ID: 2365472164 Enrollment ID: I20050820000106 |
| Provider Name | Malik I Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770557985 PECOS PAC ID: 5294752648 Enrollment ID: I20051026000073 |
| Provider Name | Sonia Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033258249 PECOS PAC ID: 5092736215 Enrollment ID: I20051215000006 |
| Provider Name | Wegdan Andrews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972511723 PECOS PAC ID: 6709821267 Enrollment ID: I20060217000622 |
| Provider Name | Matthew Gibfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104887728 PECOS PAC ID: 7618985920 Enrollment ID: I20060329000021 |
| Provider Name | Leanne Watson-ficken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451373 PECOS PAC ID: 9638182470 Enrollment ID: I20060724000134 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689602930 PECOS PAC ID: 7618980921 Enrollment ID: I20060802000428 |
| Provider Name | Anup Katyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104858265 PECOS PAC ID: 4385649359 Enrollment ID: I20060926000037 |
| Provider Name | Ashok V Palagiri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790899151 PECOS PAC ID: 8224036736 Enrollment ID: I20061117000002 |
| Provider Name | John F Fuller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093754574 PECOS PAC ID: 3476655929 Enrollment ID: I20070301000270 |
| Provider Name | Andrea L Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275741266 PECOS PAC ID: 9537268412 Enrollment ID: I20070618000176 |
| Provider Name | Neal S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093933285 PECOS PAC ID: 6709986714 Enrollment ID: I20070705000124 |
| Provider Name | Anna M Conti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275731267 PECOS PAC ID: 0446342299 Enrollment ID: I20070823000910 |
| Provider Name | Dawn M Roemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093995466 PECOS PAC ID: 3274622246 Enrollment ID: I20071129000302 |
| Provider Name | Phu D Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295718294 PECOS PAC ID: 7315928462 Enrollment ID: I20080313000609 |
| Provider Name | Matthew Stewart Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649392796 PECOS PAC ID: 9830277573 Enrollment ID: I20080422000525 |
| Provider Name | Margaret Marcrander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972555332 PECOS PAC ID: 0345348637 Enrollment ID: I20080509000145 |
| Provider Name | Karen L Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649398926 PECOS PAC ID: 3274606033 Enrollment ID: I20080728000067 |
| Provider Name | Sangita Aradhyula |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356551915 PECOS PAC ID: 8022182435 Enrollment ID: I20080804000135 |
| Provider Name | Brian Weisenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093831042 PECOS PAC ID: 2062572753 Enrollment ID: I20081126000066 |
| Provider Name | Justin D Moody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639370489 PECOS PAC ID: 0941386700 Enrollment ID: I20090501000126 |
| Provider Name | Renee J Zesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457586919 PECOS PAC ID: 2264583178 Enrollment ID: I20090706000083 |
| Provider Name | Aaron M Tyree |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093965840 PECOS PAC ID: 5890863567 Enrollment ID: I20091019000109 |
| Provider Name | Laura D Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801843230 PECOS PAC ID: 5991840076 Enrollment ID: I20100301000119 |
| Provider Name | Eduardo Luis Garcia-ferrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619917101 PECOS PAC ID: 8820128077 Enrollment ID: I20100614000814 |
| Provider Name | Polly Kate David |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649501834 PECOS PAC ID: 2668503004 Enrollment ID: I20100628001042 |
| Provider Name | William B Suk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053428201 PECOS PAC ID: 6002811247 Enrollment ID: I20100717000134 |
| Provider Name | Justin Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902096613 PECOS PAC ID: 4183758089 Enrollment ID: I20100813000758 |
| Provider Name | Katherine Lynne Garland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568634533 PECOS PAC ID: 0941334684 Enrollment ID: I20100817000159 |
| Provider Name | Wilman Rene Ortega Perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720174246 PECOS PAC ID: 7810049939 Enrollment ID: I20100927001076 |
| Provider Name | Muhammad Javed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275741340 PECOS PAC ID: 6305962309 Enrollment ID: I20100928000352 |
| Provider Name | Heidi L Gioia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427142579 PECOS PAC ID: 3173704285 Enrollment ID: I20110223000230 |
| Provider Name | Timothy J Brinker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114181948 PECOS PAC ID: 0749467439 Enrollment ID: I20110606000678 |
| Provider Name | Sameer Kirtane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871755777 PECOS PAC ID: 7517145725 Enrollment ID: I20110616000649 |
| Provider Name | Adeel I Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790993863 PECOS PAC ID: 7911191929 Enrollment ID: I20110725000511 |
| Provider Name | Zerihun a Bunaye |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962668848 PECOS PAC ID: 5890963466 Enrollment ID: I20110726000588 |
| Provider Name | Allison Modglin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457650723 PECOS PAC ID: 5799954038 Enrollment ID: I20110803000375 |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952569642 PECOS PAC ID: 0143393637 Enrollment ID: I20110815000641 |
| Provider Name | Megan Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467767087 PECOS PAC ID: 5496870081 Enrollment ID: I20110831000670 |
| Provider Name | Sarah E Bloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043506256 PECOS PAC ID: 6204008949 Enrollment ID: I20110930000500 |
| Provider Name | Christopher Cundiff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689908105 PECOS PAC ID: 5496890550 Enrollment ID: I20120105000553 |
| Provider Name | Jennifer L Quisenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598032062 PECOS PAC ID: 0547429359 Enrollment ID: I20120315000016 |
| Provider Name | Lindsey C Duesterhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063783967 PECOS PAC ID: 7012178262 Enrollment ID: I20120413000693 |
| Provider Name | Nichole Marie Maclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043584634 PECOS PAC ID: 8426211152 Enrollment ID: I20120516000683 |
| Provider Name | Dustin Ricky Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558591198 PECOS PAC ID: 0042466765 Enrollment ID: I20120813000710 |
| Provider Name | David a Rempe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285742171 PECOS PAC ID: 4082809157 Enrollment ID: I20120829000367 |
| Provider Name | Joseph Anthony Pantelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700097128 PECOS PAC ID: 9032200688 Enrollment ID: I20121101000502 |
| Provider Name | Susan M Tellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881946358 PECOS PAC ID: 1052561842 Enrollment ID: I20121102000099 |
| Provider Name | Delora Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659622330 PECOS PAC ID: 9537311808 Enrollment ID: I20121212000625 |
| Provider Name | Amar P Jadhav |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063642783 PECOS PAC ID: 2860637162 Enrollment ID: I20130314000031 |
| Provider Name | Andrew Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497008254 PECOS PAC ID: 3779728209 Enrollment ID: I20130403000515 |
| Provider Name | Sarah M Wilmsmeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205009552 PECOS PAC ID: 3274774690 Enrollment ID: I20130729000266 |
| Provider Name | Kristen M Cundiff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487988093 PECOS PAC ID: 4284875204 Enrollment ID: I20130801000880 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20130815000886 |
| Provider Name | Pooja Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578728218 PECOS PAC ID: 3870736242 Enrollment ID: I20130904000466 |
| Provider Name | Jennifer L Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164087 PECOS PAC ID: 2466609300 Enrollment ID: I20130905000631 |
| Provider Name | Beatrice Alexandra Bernhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740452564 PECOS PAC ID: 4284878885 Enrollment ID: I20130923000142 |
| Provider Name | Sabrina N Padgett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568777365 PECOS PAC ID: 3072757509 Enrollment ID: I20130923000536 |
| Provider Name | Vinaya R Sermadevi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114243235 PECOS PAC ID: 4688703416 Enrollment ID: I20131001000543 |
| Provider Name | Jonathan Schonert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225358518 PECOS PAC ID: 8820249428 Enrollment ID: I20131007000380 |
| Provider Name | Erin S Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912232786 PECOS PAC ID: 5193952141 Enrollment ID: I20131218001064 |
| Provider Name | Melissa L Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932322559 PECOS PAC ID: 6800024597 Enrollment ID: I20131231000665 |
| Provider Name | Ashwani Kumar Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609051630 PECOS PAC ID: 0042358715 Enrollment ID: I20140214001492 |
| Provider Name | Chakradhar Venkata Krishna Venkata |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285846576 PECOS PAC ID: 1153494216 Enrollment ID: I20140225001176 |
| Provider Name | Michelle Leigh Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598195273 PECOS PAC ID: 0345470456 Enrollment ID: I20140310001880 |
| Provider Name | Sarah R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083044879 PECOS PAC ID: 1052541166 Enrollment ID: I20140310001972 |
| Provider Name | Kathleen P Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053434001 PECOS PAC ID: 8426280728 Enrollment ID: I20140421001934 |
| Provider Name | Erica Robinson Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629366521 PECOS PAC ID: 1557586724 Enrollment ID: I20140701001731 |
| Provider Name | Paula F Oldeg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568438687 PECOS PAC ID: 5991696536 Enrollment ID: I20140702001723 |
| Provider Name | Enquan Gao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295051548 PECOS PAC ID: 0446475198 Enrollment ID: I20140714000586 |
| Provider Name | Thomas Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516598 PECOS PAC ID: 2264695501 Enrollment ID: I20140722002256 |
| Provider Name | Shawna Jo Surman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790106011 PECOS PAC ID: 8022235860 Enrollment ID: I20140819000292 |
| Provider Name | Molly D Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700285517 PECOS PAC ID: 7113147612 Enrollment ID: I20141006000547 |
| Provider Name | Jason a Shanker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932488962 PECOS PAC ID: 1951560044 Enrollment ID: I20141103000339 |
| Provider Name | Kimberly K Cordes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783346 PECOS PAC ID: 0345562484 Enrollment ID: I20141201001359 |
| Provider Name | Laura E. Marchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366850554 PECOS PAC ID: 4183946965 Enrollment ID: I20141205000502 |
| Provider Name | Colleen Elizabeth Tepen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215328174 PECOS PAC ID: 5193041200 Enrollment ID: I20150309001994 |
| Provider Name | Anne Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245621093 PECOS PAC ID: 8123345428 Enrollment ID: I20150325002480 |
| Provider Name | Christie C Pickrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992063994 PECOS PAC ID: 8325262843 Enrollment ID: I20150421001869 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20150522001371 |
| Provider Name | Donna Thanh Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129732 PECOS PAC ID: 5597076851 Enrollment ID: I20150612002139 |
| Provider Name | Kirsten Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356617443 PECOS PAC ID: 6709106057 Enrollment ID: I20150730011242 |
| Provider Name | Stephanie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918856 PECOS PAC ID: 9032425046 Enrollment ID: I20150904000641 |
| Provider Name | Debra L Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188288 PECOS PAC ID: 8820305907 Enrollment ID: I20150922002726 |
| Provider Name | Lizel Alvarado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588835953 PECOS PAC ID: 7810062304 Enrollment ID: I20150924002623 |
| Provider Name | Mohamed Tom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801102587 PECOS PAC ID: 1052621950 Enrollment ID: I20151105000256 |
| Provider Name | Steven Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619960655 PECOS PAC ID: 3072407527 Enrollment ID: I20151105001451 |
| Provider Name | Stephanie Denise Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972976181 PECOS PAC ID: 7214237387 Enrollment ID: I20151120001246 |
| Provider Name | Walter L Mickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306109384 PECOS PAC ID: 9032426911 Enrollment ID: I20160105000160 |
| Provider Name | George Shuert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376716985 PECOS PAC ID: 4688706393 Enrollment ID: I20160126001604 |
| Provider Name | Kimberly a Franer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699578 PECOS PAC ID: 1153627021 Enrollment ID: I20160303000555 |
| Provider Name | Kate Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697376 PECOS PAC ID: 2860791753 Enrollment ID: I20160427001453 |
| Provider Name | She'tongela S Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134581861 PECOS PAC ID: 0446558563 Enrollment ID: I20160525001152 |
| Provider Name | Barry K Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750677928 PECOS PAC ID: 0840418760 Enrollment ID: I20160609001857 |
| Provider Name | Javad C Vaziri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354727 PECOS PAC ID: 3971731365 Enrollment ID: I20160610001421 |
| Provider Name | Tatheer Zohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457614430 PECOS PAC ID: 5890936033 Enrollment ID: I20160712000138 |
| Provider Name | Eric J Shelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477999167 PECOS PAC ID: 7315181245 Enrollment ID: I20160804000810 |
| Provider Name | Nanette Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780016584 PECOS PAC ID: 8921232653 Enrollment ID: I20160812000680 |
| Provider Name | Emily L Rumora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017624 PECOS PAC ID: 0143545749 Enrollment ID: I20160815002795 |
| Provider Name | Jodi Alise Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740734730 PECOS PAC ID: 6709171937 Enrollment ID: I20160826000090 |
| Provider Name | Rachel Landgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215487863 PECOS PAC ID: 9234418625 Enrollment ID: I20161107001661 |
| Provider Name | Thanh-thao T Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982156337 PECOS PAC ID: 3072892611 Enrollment ID: I20161122001424 |
| Provider Name | Manisha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035766 PECOS PAC ID: 7719267913 Enrollment ID: I20161205002080 |
| Provider Name | Anne Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760259 PECOS PAC ID: 3476833047 Enrollment ID: I20161219000323 |
| Provider Name | Andrea L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265815583 PECOS PAC ID: 9931480159 Enrollment ID: I20161230001524 |
| Provider Name | Falak Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588928535 PECOS PAC ID: 1951622760 Enrollment ID: I20170301000326 |
| Provider Name | Cheryl L Viau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710427547 PECOS PAC ID: 9931484052 Enrollment ID: I20170331001511 |
| Provider Name | Stephanie D Nellesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362021 PECOS PAC ID: 6901182310 Enrollment ID: I20170420000870 |
| Provider Name | Mary Rui Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861807026 PECOS PAC ID: 9335369743 Enrollment ID: I20170519000257 |
| Provider Name | Katie L Palubiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609308584 PECOS PAC ID: 6103193537 Enrollment ID: I20170606001367 |
| Provider Name | Catherine J Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780098681 PECOS PAC ID: 5294953162 Enrollment ID: I20170721001902 |
| Provider Name | Amanda L Melliere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194427 PECOS PAC ID: 7012287147 Enrollment ID: I20170724001692 |
| Provider Name | Alison Curfman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023306578 PECOS PAC ID: 2961772660 Enrollment ID: I20170727002055 |
| Provider Name | Bilquees Beig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719600 PECOS PAC ID: 4082987128 Enrollment ID: I20170912000600 |
| Provider Name | Daniel L Skief |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821517293 PECOS PAC ID: 5092071100 Enrollment ID: I20171106002450 |
| Provider Name | Spencer Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689075244 PECOS PAC ID: 2961624416 Enrollment ID: I20171130000134 |
| Provider Name | Temitope Shodunke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144517707 PECOS PAC ID: 1052543436 Enrollment ID: I20171205002656 |
| Provider Name | Ragean Marie Muessig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233633 PECOS PAC ID: 1052672243 Enrollment ID: I20180305000927 |
| Provider Name | Jennifer a Staggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447766233 PECOS PAC ID: 1254694219 Enrollment ID: I20180405000107 |
| Provider Name | Meredith Rages |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518469931 PECOS PAC ID: 1557625258 Enrollment ID: I20180504001141 |
| Provider Name | Brian Snyders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797126 PECOS PAC ID: 3577856327 Enrollment ID: I20180612001531 |
| Provider Name | Ahmed Koriesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598179285 PECOS PAC ID: 6406101138 Enrollment ID: I20180620001094 |
| Provider Name | Stephanie L Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492202 PECOS PAC ID: 4789930207 Enrollment ID: I20180712002966 |
| Provider Name | Armin Krvavac |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482490 PECOS PAC ID: 2769617877 Enrollment ID: I20180714000102 |
| Provider Name | Mara Kathleen Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543958 PECOS PAC ID: 5294017463 Enrollment ID: I20180725003522 |
| Provider Name | Joanna I Ramiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376898536 PECOS PAC ID: 3678876406 Enrollment ID: I20180913001194 |
| Provider Name | Nicolette Prosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194204388 PECOS PAC ID: 0840541660 Enrollment ID: I20180918002301 |
| Provider Name | Amy Louise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477030161 PECOS PAC ID: 6002167350 Enrollment ID: I20180925003186 |
| Provider Name | Meghan Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138891 PECOS PAC ID: 6204123508 Enrollment ID: I20181114000967 |
| Provider Name | James Mark Spaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472822 PECOS PAC ID: 2365786076 Enrollment ID: I20181206003600 |
| Provider Name | Kelly Pantazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306326855 PECOS PAC ID: 4587909619 Enrollment ID: I20181218003254 |
| Provider Name | Lindsey Marie Viefhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902389802 PECOS PAC ID: 8820334907 Enrollment ID: I20190110000743 |
| Provider Name | Kathleen Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041703 PECOS PAC ID: 0042557043 Enrollment ID: I20190129003256 |
| Provider Name | Melanie Elaine Janssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614775 PECOS PAC ID: 4385981380 Enrollment ID: I20190129003434 |
| Provider Name | Whitney Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108517 PECOS PAC ID: 5991936270 Enrollment ID: I20190129003506 |
| Provider Name | Katherine Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259844 PECOS PAC ID: 6901143866 Enrollment ID: I20190130002047 |
| Provider Name | Melissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487122784 PECOS PAC ID: 3870830748 Enrollment ID: I20190211000574 |
| Provider Name | Valentina Jordan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639650120 PECOS PAC ID: 6901144765 Enrollment ID: I20190221000047 |
| Provider Name | Emily Specker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912430315 PECOS PAC ID: 6305105859 Enrollment ID: I20190221000254 |
| Provider Name | Rebekah Holobaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295642 PECOS PAC ID: 1557609468 Enrollment ID: I20190305001054 |
| Provider Name | Sarah Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699260521 PECOS PAC ID: 2668711771 Enrollment ID: I20190307002866 |
| Provider Name | Margaret Mary Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306306865 PECOS PAC ID: 1658612163 Enrollment ID: I20190410002336 |
| Provider Name | Kaitlyn Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297729 PECOS PAC ID: 0446518070 Enrollment ID: I20190417002015 |
| Provider Name | Meaghan Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225894 PECOS PAC ID: 9830430966 Enrollment ID: I20190417002440 |
| Provider Name | John K Hearn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912211343 PECOS PAC ID: 3870722515 Enrollment ID: I20190430001626 |
| Provider Name | Matthew David Telmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760954952 PECOS PAC ID: 6406198639 Enrollment ID: I20190508001765 |
| Provider Name | Meghan Fusz Rodden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407054257 PECOS PAC ID: 8022260991 Enrollment ID: I20190509000076 |
| Provider Name | Malynda C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707907 PECOS PAC ID: 8921373598 Enrollment ID: I20190522000354 |
| Provider Name | Lacey Ann Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497319560 PECOS PAC ID: 9234462102 Enrollment ID: I20190607000936 |
| Provider Name | Jessica Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649837246 PECOS PAC ID: 4789917147 Enrollment ID: I20190618000813 |
| Provider Name | Advait Sanjiv Mahulikar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417377383 PECOS PAC ID: 6305148354 Enrollment ID: I20190701000477 |
| Provider Name | Shreyans Bengani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710334610 PECOS PAC ID: 6103151139 Enrollment ID: I20190715000459 |
| Provider Name | Rada Helen Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508397910 PECOS PAC ID: 7517292311 Enrollment ID: I20190716003738 |
| Provider Name | Mohamed M Alwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538542634 PECOS PAC ID: 8820390297 Enrollment ID: I20190731002227 |
| Provider Name | Opeyemi Ayeni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831541325 PECOS PAC ID: 5092042416 Enrollment ID: I20190808000523 |
| Provider Name | Johnson Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861846909 PECOS PAC ID: 2466780770 Enrollment ID: I20190824000654 |
| Provider Name | Melody Kay Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336604370 PECOS PAC ID: 3375871510 Enrollment ID: I20190826001874 |
| Provider Name | Sara Garland Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326693342 PECOS PAC ID: 6305174400 Enrollment ID: I20190828000875 |
| Provider Name | Matrecha Ann Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211553 PECOS PAC ID: 6608104591 Enrollment ID: I20190830001313 |
| Provider Name | Kathryn Shemwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700263506 PECOS PAC ID: 0749582542 Enrollment ID: I20191007000249 |
| Provider Name | Tammy Lebrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508324351 PECOS PAC ID: 6002147402 Enrollment ID: I20191016002832 |
| Provider Name | Jenna S Deken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376009456 PECOS PAC ID: 1557796737 Enrollment ID: I20200116000112 |
| Provider Name | Lisa Ann Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477034437 PECOS PAC ID: 6901234756 Enrollment ID: I20200310002152 |
| Provider Name | Ameenah Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912556556 PECOS PAC ID: 2567890288 Enrollment ID: I20200311002477 |
| Provider Name | Bamidele Ganiyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155933 PECOS PAC ID: 1153759394 Enrollment ID: I20200320002762 |
| Provider Name | Elissa Ash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609804053 PECOS PAC ID: 8921029745 Enrollment ID: I20200430000328 |
| Provider Name | Ashleigh Fortschneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154956498 PECOS PAC ID: 5799116679 Enrollment ID: I20200508001118 |
| Provider Name | Milind V Gurjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972538205 PECOS PAC ID: 2163435611 Enrollment ID: I20200511000659 |
| Provider Name | Ceara Barmeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679912554 PECOS PAC ID: 8527202308 Enrollment ID: I20200605000152 |
| Provider Name | Michelle Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265994438 PECOS PAC ID: 4688900830 Enrollment ID: I20200608001812 |
| Provider Name | Yelizaveta Makhatadze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891744876 PECOS PAC ID: 0941214696 Enrollment ID: I20200612000901 |
| Provider Name | Mary Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275060907 PECOS PAC ID: 4981026200 Enrollment ID: I20200615002469 |
| Provider Name | Rachel Sarah Corbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053532 PECOS PAC ID: 1658793609 Enrollment ID: I20200619000736 |
| Provider Name | Kimberly Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295063 PECOS PAC ID: 1355689589 Enrollment ID: I20200814002061 |
| Provider Name | Senthil Aruchamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386873883 PECOS PAC ID: 5496903254 Enrollment ID: I20200825003576 |
| Provider Name | Christian Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467062646 PECOS PAC ID: 6800213331 Enrollment ID: I20200831000113 |
| Provider Name | Fang Bai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639564776 PECOS PAC ID: 3577872878 Enrollment ID: I20200909000395 |
| Provider Name | Corey Weicht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992315857 PECOS PAC ID: 5799103941 Enrollment ID: I20200921000728 |
| Provider Name | Melinda Dorottya Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345085 PECOS PAC ID: 5597073114 Enrollment ID: I20200924002362 |
| Provider Name | Amanda Bertholomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871103093 PECOS PAC ID: 3678983566 Enrollment ID: I20201104001509 |
| Provider Name | Alecia D Welvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681802 PECOS PAC ID: 0648607820 Enrollment ID: I20201117001777 |
| Provider Name | Adrienne Rebecca Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945196 PECOS PAC ID: 0446527667 Enrollment ID: I20201125002253 |
| Provider Name | Sujan Teegala Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790170223 PECOS PAC ID: 6507280195 Enrollment ID: I20210528000538 |
| Provider Name | Czerina Sarah Ottes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780281618 PECOS PAC ID: 5890194476 Enrollment ID: I20210602001209 |
| Provider Name | Belma Mahmutovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447839436 PECOS PAC ID: 3274933262 Enrollment ID: I20210614000400 |
| Provider Name | Yasser Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982050142 PECOS PAC ID: 5698066736 Enrollment ID: I20210721003110 |
| Provider Name | Maggie Marie Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324230 PECOS PAC ID: 4284037433 Enrollment ID: I20210726001413 |
| Provider Name | Jacquelynn Victoria Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710431432 PECOS PAC ID: 6901186162 Enrollment ID: I20210820001958 |
| Provider Name | Jordan Nichole Leifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700455631 PECOS PAC ID: 7810393121 Enrollment ID: I20210913002154 |
| Provider Name | Lingxiao Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083135909 PECOS PAC ID: 2365715638 Enrollment ID: I20210913003003 |
| Provider Name | Nida Jamal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457701104 PECOS PAC ID: 1355637117 Enrollment ID: I20210915000667 |
| Provider Name | Alexandra Gianoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952754764 PECOS PAC ID: 0648687061 Enrollment ID: I20210922000639 |
| Provider Name | Ashley Danuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609449586 PECOS PAC ID: 1355730037 Enrollment ID: I20211118001497 |
| Provider Name | Charles Jonah Mccloskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972267656 PECOS PAC ID: 9335539352 Enrollment ID: I20211207000933 |
| Provider Name | Kristin Lee Vorachack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992460778 PECOS PAC ID: 9335539006 Enrollment ID: I20211213000892 |
| Provider Name | Jessica Wittich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316605843 PECOS PAC ID: 3678966116 Enrollment ID: I20220207000484 |
| Provider Name | Amanda Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952797383 PECOS PAC ID: 9537478011 Enrollment ID: I20220413001554 |
| Provider Name | Amy Lovins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386392488 PECOS PAC ID: 6305223405 Enrollment ID: I20220511000676 |
| Provider Name | Christina Engert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142473 PECOS PAC ID: 8022497288 Enrollment ID: I20220617000641 |
| Provider Name | Elizabeth M Ley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699416610 PECOS PAC ID: 9537549936 Enrollment ID: I20220701000539 |
| Provider Name | Brian Openlander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104487495 PECOS PAC ID: 0648505875 Enrollment ID: I20220705000905 |
| Provider Name | Shannon Suzanne Grayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124764477 PECOS PAC ID: 8527440957 Enrollment ID: I20220802002721 |
| Provider Name | Amanda B Hilmer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306941828 PECOS PAC ID: 9638105620 Enrollment ID: I20220823002903 |
| Provider Name | Alan Howell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710180252 PECOS PAC ID: 4082701941 Enrollment ID: I20221010000217 |
| Provider Name | Jennifer Nicole Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356062665 PECOS PAC ID: 4587031984 Enrollment ID: I20221116001923 |
| Provider Name | Suan Rachels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194459016 PECOS PAC ID: 6204204928 Enrollment ID: I20221130000356 |
| Provider Name | Shakita L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356963094 PECOS PAC ID: 1355711847 Enrollment ID: I20221227001157 |
| Provider Name | Laquisha S Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649806266 PECOS PAC ID: 8820468895 Enrollment ID: I20230109001129 |
| Provider Name | Geraldine Prophete |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447960638 PECOS PAC ID: 2264806090 Enrollment ID: I20230319000050 |
| Provider Name | Chase Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154958908 PECOS PAC ID: 0941624001 Enrollment ID: I20230720004003 |
| Provider Name | Jessica Dawn Weseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871270009 PECOS PAC ID: 6709249956 Enrollment ID: I20230906000377 |
| Provider Name | Abigail Rose Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861103137 PECOS PAC ID: 0749644318 Enrollment ID: I20230914003197 |
| Provider Name | Michaela Anne Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427779222 PECOS PAC ID: 9032566948 Enrollment ID: I20231115001252 |
| Provider Name | Jacob Michael Wilmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902671639 PECOS PAC ID: 0446693329 Enrollment ID: I20240207003059 |
| Provider Name | Alita Billops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003696345 PECOS PAC ID: 2163869884 Enrollment ID: I20240318001313 |
| Provider Name | Katherine Heitmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295271500 PECOS PAC ID: 0749627842 Enrollment ID: I20240325003917 |
| Provider Name | Jessie Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902198583 PECOS PAC ID: 1254560642 Enrollment ID: I20240525000382 |
| Provider Name | Sameera Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487831061 PECOS PAC ID: 0345432233 Enrollment ID: I20240613002731 |
| Provider Name | Jacob Didion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104275239 PECOS PAC ID: 3779878269 Enrollment ID: I20240619000630 |
| Provider Name | Supakunya Edmonson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366420853 PECOS PAC ID: 2860670262 Enrollment ID: I20240620000129 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20240621000313 |
| Provider Name | Anthony Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326273905 PECOS PAC ID: 3072755362 Enrollment ID: I20240624001716 |
| Provider Name | Corina Bakoylis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548019987 PECOS PAC ID: 4284171067 Enrollment ID: I20240730003034 |
| Provider Name | Arjun J Padalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982264982 PECOS PAC ID: 1456687466 Enrollment ID: I20240814004097 |
| Provider Name | Tiffani D Berkel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629694930 PECOS PAC ID: 4385062306 Enrollment ID: I20240827001564 |
| Provider Name | Christie Brugere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790527570 PECOS PAC ID: 2567901812 Enrollment ID: I20240829004064 |
| Provider Name | Matthew Thomas Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801632971 PECOS PAC ID: 4284165119 Enrollment ID: I20241003000394 |
| Provider Name | Bailey Shearrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346060159 PECOS PAC ID: 4587198320 Enrollment ID: I20241115001025 |
| Provider Name | Abigail Sanders Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023659463 PECOS PAC ID: 7113351289 Enrollment ID: I20241118001652 |
| Provider Name | Ellen Snyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760941728 PECOS PAC ID: 1052646213 Enrollment ID: I20241120001769 |
| Provider Name | Ahmed Abdelkader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578912572 PECOS PAC ID: 9537582416 Enrollment ID: I20241120002173 |
| Provider Name | Mary Ransom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487697389 PECOS PAC ID: 5890743819 Enrollment ID: I20241224001498 |
| Provider Name | Ehab El-khabiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023306230 PECOS PAC ID: 7113148131 Enrollment ID: I20241224001557 |
| Provider Name | Usha Thapalia Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073712287 PECOS PAC ID: 2163657362 Enrollment ID: I20250122000275 |
| Provider Name | Guang Hao Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255954574 PECOS PAC ID: 1557784675 Enrollment ID: I20250124000345 |
| Provider Name | Christina Jane Linsenbardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144032285 PECOS PAC ID: 2264961697 Enrollment ID: I20250129002447 |
| Provider Name | Vaghdevi Bagam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609449388 PECOS PAC ID: 6709228190 Enrollment ID: I20250203001386 |
| Provider Name | Asad a Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396033403 PECOS PAC ID: 7416272661 Enrollment ID: I20250204002304 |
| Provider Name | Jenna K Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770393324 PECOS PAC ID: 5193249688 Enrollment ID: I20250407000271 |
| Provider Name | Eric Boyum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093034266 PECOS PAC ID: 7517107956 Enrollment ID: I20250408003834 |
| Provider Name | Hamza Kaziz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720617871 PECOS PAC ID: 3476079914 Enrollment ID: I20250429000245 |
| Provider Name | Sunil Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934176 PECOS PAC ID: 5193146942 Enrollment ID: I20250506002882 |
| Provider Name | Ashruta Ahuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346745262 PECOS PAC ID: 3375898877 Enrollment ID: I20250516003231 |
| Provider Name | Amy Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629893268 PECOS PAC ID: 3072024496 Enrollment ID: I20250613000502 |
| Provider Name | Charles W Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891781910 PECOS PAC ID: 0244252435 Enrollment ID: I20250616002328 |
| Provider Name | Blake Tyler Brown |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952042186 PECOS PAC ID: 0648782409 Enrollment ID: I20250626000525 |
| Provider Name | Marshall Kirsch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699301549 PECOS PAC ID: 9739500422 Enrollment ID: I20250723001974 |
| Provider Name | Cassidi Ann Hesdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629557111 PECOS PAC ID: 8921343237 Enrollment ID: I20251107003850 |
| Provider Name | Amy Louise Bloomfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790976173 PECOS PAC ID: 4789981044 Enrollment ID: I20251112001317 |
| Provider Name | Gaylin Manion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023497591 PECOS PAC ID: 7810201027 Enrollment ID: I20251215000715 |
| Provider Name | Brooke D. Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477751121 PECOS PAC ID: 7911316153 Enrollment ID: I20260211000985 |
| Provider Name | Tia Evenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972100766 PECOS PAC ID: 6002235280 Enrollment ID: I20260304001216 |
| Provider Name | Adria Jerkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427463322 PECOS PAC ID: 6103128467 Enrollment ID: I20260316003253 |
| Provider Name | Elizabeth Marie Nannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104707736 PECOS PAC ID: 1951895754 Enrollment ID: I20260430000474 |
| Provider Name | Charmaine Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083870265 PECOS PAC ID: 1355572611 Enrollment ID: I20260505003017 |
Brenda Lee Casey, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Four Seasons Shopping Ctr, Suite 103b, Chesterfield, MO 63017 Phone: 636-484-2733 Fax: 314-392-9558 |
Total Health and Productivity LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 636-236-9578 |
Chesterfield Counseling Associates, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15455 Conway Rd Ste 117, Chesterfield, MO 63017 Phone: 636-675-7566 |
Beyond Vision Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Long Rd Ste 123, Chesterfield, MO 63005 Phone: 818-308-4388 Fax: 855-954-4533 |
Wasserstrom Counseling Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Westmeade Ct, Chesterfield, MO 63005 Phone: 314-399-8854 |
Greenbrook Mental Wellness Centers Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017 Phone: 855-940-4867 Fax: 855-721-4867 |