| Minuteclinic Diagnostic Of Ohio Llc | |
|
4961 Roberts Rd Hilliard OH 43026-8129 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Of Ohio Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4961 Roberts Rd, Hilliard, Ohio |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Ohio Llc 1 Cvs Drive Minuteclinic Credentialing - Mc2295 Woonsocket RI 02895-6146 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of Ohio Llc 4961 Roberts Rd Hilliard OH 43026-8129 Ph: (866) 389-2727 |
| NPI Number | 1699747303 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 2961425608 |
|---|---|
| Medicare Enrollment ID | O20060109001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699747303 | NPI | - | NPPES |
| Provider Name | Brenda L Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295823482 PECOS PAC ID: 7719874353 Enrollment ID: I20040301000136 |
| Provider Name | Iyaad Hasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881794188 PECOS PAC ID: 9335192103 Enrollment ID: I20050222000502 |
| Provider Name | Sandra L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356342984 PECOS PAC ID: 7012951734 Enrollment ID: I20050614000730 |
| Provider Name | Kyla Vaughn Elderton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750575387 PECOS PAC ID: 9739119223 Enrollment ID: I20050815000614 |
| Provider Name | Jennifer Mary Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265693642 PECOS PAC ID: 9133293434 Enrollment ID: I20080805000353 |
| Provider Name | Jennifer M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619130481 PECOS PAC ID: 2062588387 Enrollment ID: I20080910000024 |
| Provider Name | Kathryn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699915744 PECOS PAC ID: 6305993536 Enrollment ID: I20090406000035 |
| Provider Name | Ruth A Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912134669 PECOS PAC ID: 9931252939 Enrollment ID: I20090807000338 |
| Provider Name | Marshall Hollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427249499 PECOS PAC ID: 4981742103 Enrollment ID: I20091109000633 |
| Provider Name | Aliza Rachel Finegold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013247261 PECOS PAC ID: 7911042312 Enrollment ID: I20100310000578 |
| Provider Name | Christal G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184948192 PECOS PAC ID: 9638207855 Enrollment ID: I20100510000409 |
| Provider Name | Margaret E Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164730073 PECOS PAC ID: 0345432761 Enrollment ID: I20101004001209 |
| Provider Name | Karen E Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295041143 PECOS PAC ID: 4486847373 Enrollment ID: I20101025000028 |
| Provider Name | Elizabeth Errington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548561749 PECOS PAC ID: 9739376369 Enrollment ID: I20101208001345 |
| Provider Name | Katheryn R Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558663989 PECOS PAC ID: 8628266384 Enrollment ID: I20101221001126 |
| Provider Name | Lisa Bettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568779239 PECOS PAC ID: 3274717244 Enrollment ID: I20110415000486 |
| Provider Name | Melinda A Skipper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447540695 PECOS PAC ID: 9032395462 Enrollment ID: I20110518000767 |
| Provider Name | Tina A Frisina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922398379 PECOS PAC ID: 0547446650 Enrollment ID: I20110525000077 |
| Provider Name | Leslie K Robson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114162443 PECOS PAC ID: 1951579143 Enrollment ID: I20110713000646 |
| Provider Name | Tiffany L Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336434265 PECOS PAC ID: 2062680267 Enrollment ID: I20110713000751 |
| Provider Name | Colleen C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760764161 PECOS PAC ID: 6800068479 Enrollment ID: I20111004000879 |
| Provider Name | Jean A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861691024 PECOS PAC ID: 9739351982 Enrollment ID: I20111011000766 |
| Provider Name | Irina A Grinblat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639459126 PECOS PAC ID: 0345412417 Enrollment ID: I20111013000655 |
| Provider Name | Sueann E Treiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043591225 PECOS PAC ID: 0446424378 Enrollment ID: I20111110000707 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518240571 PECOS PAC ID: 2062689045 Enrollment ID: I20120113000484 |
| Provider Name | Jacalyn M Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922315845 PECOS PAC ID: 5294993010 Enrollment ID: I20120225000083 |
| Provider Name | Yvette I Garbe Steffens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467726471 PECOS PAC ID: 0143480194 Enrollment ID: I20120328000659 |
| Provider Name | Felisa Northern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770811960 PECOS PAC ID: 9032173000 Enrollment ID: I20120329000454 |
| Provider Name | Erika E Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588948848 PECOS PAC ID: 8224298948 Enrollment ID: I20120404000291 |
| Provider Name | Lauren E Indorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948994 PECOS PAC ID: 8527229889 Enrollment ID: I20120412000445 |
| Provider Name | Pamela Y Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801156187 PECOS PAC ID: 2365606977 Enrollment ID: I20120612000199 |
| Provider Name | Jennifer L Erpenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255618740 PECOS PAC ID: 9830345198 Enrollment ID: I20120802000305 |
| Provider Name | Erin Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164772679 PECOS PAC ID: 9830349216 Enrollment ID: I20121019000468 |
| Provider Name | Emily E Palscak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487903860 PECOS PAC ID: 6406006659 Enrollment ID: I20121024000115 |
| Provider Name | Diana M Huddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327440 PECOS PAC ID: 0648420661 Enrollment ID: I20121026000568 |
| Provider Name | Christa M Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588915250 PECOS PAC ID: 8224288287 Enrollment ID: I20121029000259 |
| Provider Name | Emily S Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477757 PECOS PAC ID: 9436309408 Enrollment ID: I20121029000356 |
| Provider Name | Margaret Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083969489 PECOS PAC ID: 4789836040 Enrollment ID: I20121212000552 |
| Provider Name | Aimee M Larouere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861744658 PECOS PAC ID: 6406008762 Enrollment ID: I20121212000564 |
| Provider Name | Carrie L Cales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043560683 PECOS PAC ID: 2365688645 Enrollment ID: I20130410000489 |
| Provider Name | Marie A Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962741991 PECOS PAC ID: 2668618927 Enrollment ID: I20130411000594 |
| Provider Name | Autumn R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548502636 PECOS PAC ID: 5496993404 Enrollment ID: I20130604000194 |
| Provider Name | Wendy T Ohliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406459 PECOS PAC ID: 5890936546 Enrollment ID: I20130723000992 |
| Provider Name | Lindsey A Khabbaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952741852 PECOS PAC ID: 4284876897 Enrollment ID: I20130812000270 |
| Provider Name | Mary C O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639511520 PECOS PAC ID: 0345482741 Enrollment ID: I20130814000963 |
| Provider Name | Molly M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336581784 PECOS PAC ID: 8325280613 Enrollment ID: I20130815000929 |
| Provider Name | Kellie Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420795 PECOS PAC ID: 6204079494 Enrollment ID: I20130909000502 |
| Provider Name | Amanda L Mitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497197396 PECOS PAC ID: 1951545490 Enrollment ID: I20130923000679 |
| Provider Name | Nicole Distel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273057 PECOS PAC ID: 7012142896 Enrollment ID: I20131101001603 |
| Provider Name | Sara Daso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124455068 PECOS PAC ID: 7618103854 Enrollment ID: I20131119000356 |
| Provider Name | Lisa E Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487084273 PECOS PAC ID: 3274760731 Enrollment ID: I20131209001509 |
| Provider Name | Gloria Endicott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598104218 PECOS PAC ID: 6608003827 Enrollment ID: I20131216000459 |
| Provider Name | Derek J Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588094882 PECOS PAC ID: 1456589191 Enrollment ID: I20140102000589 |
| Provider Name | Roberta Michelle Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254572 PECOS PAC ID: 1254560238 Enrollment ID: I20140218000134 |
| Provider Name | Ondine Ngwashi Konteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669725917 PECOS PAC ID: 7214167683 Enrollment ID: I20140304001180 |
| Provider Name | Merryann Werley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255755518 PECOS PAC ID: 3072743160 Enrollment ID: I20140312000756 |
| Provider Name | Maranda N Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558784744 PECOS PAC ID: 4486885993 Enrollment ID: I20140326001988 |
| Provider Name | Michaela A Posevitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914937 PECOS PAC ID: 3779715396 Enrollment ID: I20140415000190 |
| Provider Name | Stephanie Shampel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760665038 PECOS PAC ID: 8527207232 Enrollment ID: I20140521002016 |
| Provider Name | Kellie L Birchmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538598107 PECOS PAC ID: 0648407965 Enrollment ID: I20140523002224 |
| Provider Name | Johnathan Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205256427 PECOS PAC ID: 9032334107 Enrollment ID: I20140703000246 |
| Provider Name | Ranita A Pickeral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906826 PECOS PAC ID: 4486871951 Enrollment ID: I20140806001336 |
| Provider Name | Xu Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447660907 PECOS PAC ID: 6103043682 Enrollment ID: I20140806001697 |
| Provider Name | Allison O Giera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265847701 PECOS PAC ID: 1052538196 Enrollment ID: I20140813000753 |
| Provider Name | Lyndsey R Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144637208 PECOS PAC ID: 5991922882 Enrollment ID: I20140818001205 |
| Provider Name | Ashley N Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583727 PECOS PAC ID: 4789803396 Enrollment ID: I20140915000247 |
| Provider Name | Cara E Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619388899 PECOS PAC ID: 3870712045 Enrollment ID: I20140920000350 |
| Provider Name | Kellie J Goare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326454299 PECOS PAC ID: 0244450286 Enrollment ID: I20140925001661 |
| Provider Name | Hollie Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578962106 PECOS PAC ID: 5799905584 Enrollment ID: I20140929002376 |
| Provider Name | Stephanie D Proudfoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083020721 PECOS PAC ID: 8527288356 Enrollment ID: I20140930001037 |
| Provider Name | Michelle L Bolger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528469228 PECOS PAC ID: 6305067513 Enrollment ID: I20141031000093 |
| Provider Name | Amanda K Dolega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364041 PECOS PAC ID: 2860716362 Enrollment ID: I20150109000895 |
| Provider Name | Breann D. Hill Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447681739 PECOS PAC ID: 6406170968 Enrollment ID: I20150112000684 |
| Provider Name | Kathryn M Zangaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386032332 PECOS PAC ID: 1658696927 Enrollment ID: I20150207000345 |
| Provider Name | Holly D Zastudil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775088 PECOS PAC ID: 5799006789 Enrollment ID: I20150602002545 |
| Provider Name | Kimberly Deem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942684931 PECOS PAC ID: 4587979174 Enrollment ID: I20150811005009 |
| Provider Name | Adam Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104209014 PECOS PAC ID: 1759696248 Enrollment ID: I20150812008414 |
| Provider Name | Ping J Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053611509 PECOS PAC ID: 7214187913 Enrollment ID: I20150904001392 |
| Provider Name | Katelyn K Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023493434 PECOS PAC ID: 8022325703 Enrollment ID: I20150911002255 |
| Provider Name | Justin Pykare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272265 PECOS PAC ID: 5597072751 Enrollment ID: I20150921001576 |
| Provider Name | Laura Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587225 PECOS PAC ID: 7315256740 Enrollment ID: I20151026000329 |
| Provider Name | Lila Vernikoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942678693 PECOS PAC ID: 3072821230 Enrollment ID: I20151130001915 |
| Provider Name | Giacinta Brinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742732 PECOS PAC ID: 1951601764 Enrollment ID: I20151201001143 |
| Provider Name | Juliana N Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184097859 PECOS PAC ID: 7517268683 Enrollment ID: I20151214002186 |
| Provider Name | Daniel Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583976 PECOS PAC ID: 5890096770 Enrollment ID: I20151217002680 |
| Provider Name | Sarbjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932577475 PECOS PAC ID: 4587968193 Enrollment ID: I20160202001273 |
| Provider Name | Raul Leoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750939 PECOS PAC ID: 2062719495 Enrollment ID: I20160329002298 |
| Provider Name | Nicole L Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033570346 PECOS PAC ID: 4789982976 Enrollment ID: I20160421001403 |
| Provider Name | Brooke S Swart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881057370 PECOS PAC ID: 0840589198 Enrollment ID: I20160510001677 |
| Provider Name | Samantha C Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264060 PECOS PAC ID: 7012202724 Enrollment ID: I20160819000954 |
| Provider Name | Michelle M Carroscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942650163 PECOS PAC ID: 7214222850 Enrollment ID: I20160822002730 |
| Provider Name | Cydne S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407205503 PECOS PAC ID: 4688969603 Enrollment ID: I20160829003299 |
| Provider Name | Katie Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922545946 PECOS PAC ID: 8527343912 Enrollment ID: I20170327002869 |
| Provider Name | Hayley S Lengyel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750829982 PECOS PAC ID: 6305121716 Enrollment ID: I20170328000570 |
| Provider Name | Bethany Mistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20170411002480 |
| Provider Name | Oluwakemi J Bunsold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669904777 PECOS PAC ID: 8224305529 Enrollment ID: I20170516002381 |
| Provider Name | Elizabeth M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114452232 PECOS PAC ID: 7618244807 Enrollment ID: I20170518000224 |
| Provider Name | Thomas S Kolberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134464951 PECOS PAC ID: 4880963099 Enrollment ID: I20170703000518 |
| Provider Name | Marilyn J Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568704492 PECOS PAC ID: 0345511838 Enrollment ID: I20170801003623 |
| Provider Name | Stacey H Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285994772 PECOS PAC ID: 9133385263 Enrollment ID: I20170818002810 |
| Provider Name | Jaclyn Shotsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795162 PECOS PAC ID: 4385918317 Enrollment ID: I20170914002070 |
| Provider Name | Emily Ohliger Kickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962933846 PECOS PAC ID: 2264707926 Enrollment ID: I20171005000571 |
| Provider Name | Michelle Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574982 PECOS PAC ID: 2466728589 Enrollment ID: I20171017003296 |
| Provider Name | Erin Lynn Woodworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356865281 PECOS PAC ID: 7214203041 Enrollment ID: I20171024000752 |
| Provider Name | Olga Gudalevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875860 PECOS PAC ID: 6002182649 Enrollment ID: I20171025003173 |
| Provider Name | Heather M Herdman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730699422 PECOS PAC ID: 1951667740 Enrollment ID: I20171110001936 |
| Provider Name | Tamala D Guyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770871337 PECOS PAC ID: 9537339676 Enrollment ID: I20171115002106 |
| Provider Name | Cassandra Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962914085 PECOS PAC ID: 9931467446 Enrollment ID: I20171211000707 |
| Provider Name | Melissa L Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316298664 PECOS PAC ID: 0042579468 Enrollment ID: I20180110002829 |
| Provider Name | Jennifer L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076626 PECOS PAC ID: 4587923826 Enrollment ID: I20180112002423 |
| Provider Name | Alison A Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912411315 PECOS PAC ID: 2264791177 Enrollment ID: I20180123002452 |
| Provider Name | Melissa L Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710493002 PECOS PAC ID: 7810257482 Enrollment ID: I20180131001444 |
| Provider Name | Shelley K Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841787512 PECOS PAC ID: 1951656875 Enrollment ID: I20180618002756 |
| Provider Name | Tina Hrenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356831879 PECOS PAC ID: 5597010223 Enrollment ID: I20180620001092 |
| Provider Name | Laura Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255822136 PECOS PAC ID: 5193071355 Enrollment ID: I20180702002690 |
| Provider Name | Amber Cory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184114795 PECOS PAC ID: 4183970346 Enrollment ID: I20180702002721 |
| Provider Name | Sherry Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760975742 PECOS PAC ID: 1850647645 Enrollment ID: I20180710000497 |
| Provider Name | Jessica Lynn Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439734 PECOS PAC ID: 0840540761 Enrollment ID: I20180913001711 |
| Provider Name | Jesse M Rastetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851881585 PECOS PAC ID: 3971855529 Enrollment ID: I20181009001460 |
| Provider Name | Lauren E Mcnab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008674 PECOS PAC ID: 4082968946 Enrollment ID: I20181112001299 |
| Provider Name | Mareesa T Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740758424 PECOS PAC ID: 4082959309 Enrollment ID: I20181214000729 |
| Provider Name | Leslie E Sauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386116820 PECOS PAC ID: 1153668462 Enrollment ID: I20190124002084 |
| Provider Name | Heather L Mosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017038 PECOS PAC ID: 7113291691 Enrollment ID: I20190124002729 |
| Provider Name | Julie L Kiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503356 PECOS PAC ID: 5597003897 Enrollment ID: I20190212002088 |
| Provider Name | David Filsoof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20190214001825 |
| Provider Name | Sarah E Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303185 PECOS PAC ID: 1052652807 Enrollment ID: I20190404002277 |
| Provider Name | Rachel L Pusateri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811467699 PECOS PAC ID: 6608103676 Enrollment ID: I20190814000646 |
| Provider Name | Samantha Collinsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255989240 PECOS PAC ID: 9931430154 Enrollment ID: I20191018001386 |
| Provider Name | Katie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073164588 PECOS PAC ID: 6608209655 Enrollment ID: I20191204002135 |
| Provider Name | Deborah Denise Royes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508323270 PECOS PAC ID: 2062847502 Enrollment ID: I20200110001792 |
| Provider Name | Melissa Mcguigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306041132 PECOS PAC ID: 8628166444 Enrollment ID: I20200130000880 |
| Provider Name | Brittany Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790317634 PECOS PAC ID: 9133558182 Enrollment ID: I20200326002752 |
| Provider Name | Chauntia Dimmings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426103 PECOS PAC ID: 4789013509 Enrollment ID: I20200331000128 |
| Provider Name | Denise Paulat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649836784 PECOS PAC ID: 7416386669 Enrollment ID: I20200409000604 |
| Provider Name | Gregary Robert Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109969 PECOS PAC ID: 4587087085 Enrollment ID: I20200630002581 |
| Provider Name | Jeniffer Nerone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134692262 PECOS PAC ID: 9436574431 Enrollment ID: I20200807002517 |
| Provider Name | Angela Frazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104451061 PECOS PAC ID: 2668899253 Enrollment ID: I20200827001790 |
| Provider Name | Breanna Schwarzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427668367 PECOS PAC ID: 0547688236 Enrollment ID: I20200911001833 |
| Provider Name | Sarah Buck Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699399451 PECOS PAC ID: 6103245980 Enrollment ID: I20200928002616 |
| Provider Name | Erin N Cosentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962810200 PECOS PAC ID: 6608097340 Enrollment ID: I20200930001887 |
| Provider Name | Barbara J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326694118 PECOS PAC ID: 6002235215 Enrollment ID: I20201007001074 |
| Provider Name | Olayemi Erica Falayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740500321 PECOS PAC ID: 8820418056 Enrollment ID: I20201008003216 |
| Provider Name | Todd E Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521014 PECOS PAC ID: 8527471689 Enrollment ID: I20210108001723 |
| Provider Name | Kristina B Gadomski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407451545 PECOS PAC ID: 4587078936 Enrollment ID: I20210127000955 |
| Provider Name | Kimberly A Ciotola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902409006 PECOS PAC ID: 3678988383 Enrollment ID: I20210210001854 |
| Provider Name | Alayna Mechelle Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194924050 PECOS PAC ID: 5799190807 Enrollment ID: I20210224000268 |
| Provider Name | Meagan Mefford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073199279 PECOS PAC ID: 8820498157 Enrollment ID: I20210608002911 |
| Provider Name | Carrie K Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831562263 PECOS PAC ID: 7911308192 Enrollment ID: I20210624003261 |
| Provider Name | Stasia Yanasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871149666 PECOS PAC ID: 8921406208 Enrollment ID: I20211018002661 |
| Provider Name | Hayley Westmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978676 PECOS PAC ID: 1153710470 Enrollment ID: I20211108001553 |
| Provider Name | Holley Behnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598334401 PECOS PAC ID: 9234528126 Enrollment ID: I20211115002710 |
| Provider Name | Kelsey Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740957364 PECOS PAC ID: 9638569312 Enrollment ID: I20211213001219 |
| Provider Name | Stacy Goodyear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285258889 PECOS PAC ID: 4284024886 Enrollment ID: I20211213002606 |
| Provider Name | Michael Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730852310 PECOS PAC ID: 9032509617 Enrollment ID: I20211214002636 |
| Provider Name | Farah Chohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457929143 PECOS PAC ID: 4385035435 Enrollment ID: I20211228000000 |
| Provider Name | Michaela Gaeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340713 PECOS PAC ID: 4880085893 Enrollment ID: I20211230001498 |
| Provider Name | Nicole Maglic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548930746 PECOS PAC ID: 4183015902 Enrollment ID: I20220104002736 |
| Provider Name | Emily Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982523 PECOS PAC ID: 8921499740 Enrollment ID: I20220105000005 |
| Provider Name | Candice Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285228734 PECOS PAC ID: 2062804792 Enrollment ID: I20220110000774 |
| Provider Name | Gina Reinhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790447217 PECOS PAC ID: 4789076266 Enrollment ID: I20220112002037 |
| Provider Name | Elizabeth Whipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453819 PECOS PAC ID: 4082006978 Enrollment ID: I20220127000542 |
| Provider Name | Kourtnie Iverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982152146 PECOS PAC ID: 6901299221 Enrollment ID: I20220209002700 |
| Provider Name | Hannah Schorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740931757 PECOS PAC ID: 9830584564 Enrollment ID: I20220316002470 |
| Provider Name | Jana Towns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467117903 PECOS PAC ID: 4587059803 Enrollment ID: I20220322003229 |
| Provider Name | Abbey Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871245084 PECOS PAC ID: 5294121406 Enrollment ID: I20220414001863 |
| Provider Name | Kellie Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873755 PECOS PAC ID: 9739576513 Enrollment ID: I20220426000404 |
| Provider Name | Lehem Besera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316301708 PECOS PAC ID: 8325322415 Enrollment ID: I20220526000378 |
| Provider Name | Ashley Krystal Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609371053 PECOS PAC ID: 6709278963 Enrollment ID: I20220629002117 |
| Provider Name | Nishi Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20220705002508 |
| Provider Name | Veronica Jett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477018398 PECOS PAC ID: 8820337801 Enrollment ID: I20220713001035 |
| Provider Name | Shabnam Khalifa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629622337 PECOS PAC ID: 1052642410 Enrollment ID: I20220714001504 |
| Provider Name | Samantha Chalmers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528564432 PECOS PAC ID: 1355696527 Enrollment ID: I20220718001161 |
| Provider Name | Christine Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952554123 PECOS PAC ID: 0547313413 Enrollment ID: I20220718002435 |
| Provider Name | Vera Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619396272 PECOS PAC ID: 5799900080 Enrollment ID: I20220727000830 |
| Provider Name | Alyssa A Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639800097 PECOS PAC ID: 8921480617 Enrollment ID: I20220727002679 |
| Provider Name | Jennifer Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548890114 PECOS PAC ID: 1759718596 Enrollment ID: I20220804001406 |
| Provider Name | Mialing Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336483080 PECOS PAC ID: 4183877368 Enrollment ID: I20220812002684 |
| Provider Name | Chole Hilsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538895099 PECOS PAC ID: 3678957552 Enrollment ID: I20220825003189 |
| Provider Name | Rena Mammoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619352168 PECOS PAC ID: 1052626249 Enrollment ID: I20220830004180 |
| Provider Name | Gloria Ejekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114490919 PECOS PAC ID: 8921483025 Enrollment ID: I20220909001239 |
| Provider Name | Emily I Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669104741 PECOS PAC ID: 1658756754 Enrollment ID: I20220909001277 |
| Provider Name | Roxanne Chase-wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336395532 PECOS PAC ID: 3779626288 Enrollment ID: I20220915002047 |
| Provider Name | Melissa Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952078768 PECOS PAC ID: 4981089422 Enrollment ID: I20220919002929 |
| Provider Name | Nassima Saidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508509449 PECOS PAC ID: 4880070473 Enrollment ID: I20221005002120 |
| Provider Name | Somia Abou-osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700511698 PECOS PAC ID: 9436535911 Enrollment ID: I20221006002259 |
| Provider Name | Chase Ridgway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891423471 PECOS PAC ID: 2466828470 Enrollment ID: I20221017001300 |
| Provider Name | Ashley Fnp Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299301 PECOS PAC ID: 4688043078 Enrollment ID: I20221206003404 |
| Provider Name | Chantel Markulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437886884 PECOS PAC ID: 7517336969 Enrollment ID: I20221207001987 |
| Provider Name | Chelsea Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508573346 PECOS PAC ID: 2163892217 Enrollment ID: I20230105001947 |
| Provider Name | Roda Abdirizak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358125 PECOS PAC ID: 6901277102 Enrollment ID: I20230126001762 |
| Provider Name | Ludmyla Staddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093945594 PECOS PAC ID: 1355488438 Enrollment ID: I20230131000602 |
| Provider Name | Adrianna Albin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093422693 PECOS PAC ID: 6103298872 Enrollment ID: I20230206001473 |
| Provider Name | William Steiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750099370 PECOS PAC ID: 6901278613 Enrollment ID: I20230206002994 |
| Provider Name | Anne Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708645 PECOS PAC ID: 0446622062 Enrollment ID: I20230208001597 |
| Provider Name | Lana Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953360 PECOS PAC ID: 2769854264 Enrollment ID: I20230209001831 |
| Provider Name | Ashley Zoldak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255045092 PECOS PAC ID: 6507238003 Enrollment ID: I20230209002185 |
| Provider Name | Catherine Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841891926 PECOS PAC ID: 5799196846 Enrollment ID: I20230209002938 |
| Provider Name | Leslie Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275963522 PECOS PAC ID: 6305155441 Enrollment ID: I20230210000332 |
| Provider Name | Isabel Tenreiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417655069 PECOS PAC ID: 8426422171 Enrollment ID: I20230320000752 |
| Provider Name | Jeremy Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578273074 PECOS PAC ID: 1557727880 Enrollment ID: I20230511002367 |
| Provider Name | Michelle Griffith Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871078055 PECOS PAC ID: 4688092406 Enrollment ID: I20230523001385 |
| Provider Name | Adriene Avripas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20230524003195 |
| Provider Name | Marigold Zoghzoghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295421295 PECOS PAC ID: 4385001114 Enrollment ID: I20230608003106 |
| Provider Name | Sarah Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073185757 PECOS PAC ID: 7911364740 Enrollment ID: I20230608003114 |
| Provider Name | Pragati Ghariya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932896347 PECOS PAC ID: 2860859485 Enrollment ID: I20230613000655 |
| Provider Name | Alexis Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672298 PECOS PAC ID: 9133587751 Enrollment ID: I20230614000854 |
| Provider Name | Fernanda C Gonzales Beckford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881399111 PECOS PAC ID: 0941669352 Enrollment ID: I20230703001768 |
| Provider Name | Jaclyn Algaheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255016028 PECOS PAC ID: 6507226552 Enrollment ID: I20230721002224 |
| Provider Name | Taylor Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710655014 PECOS PAC ID: 8628439718 Enrollment ID: I20230807000231 |
| Provider Name | Claire Robeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679295000 PECOS PAC ID: 6204298995 Enrollment ID: I20230811002189 |
| Provider Name | Gabrielle Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669154811 PECOS PAC ID: 1759744501 Enrollment ID: I20230828002638 |
| Provider Name | Ruth Ann Hopler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356021695 PECOS PAC ID: 3072976737 Enrollment ID: I20230828003388 |
| Provider Name | Kristin Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000750 PECOS PAC ID: 0345694238 Enrollment ID: I20230926003485 |
| Provider Name | Marissa Elizabeth Midgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265216774 PECOS PAC ID: 9931554367 Enrollment ID: I20231004003499 |
| Provider Name | Valencia Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604875 PECOS PAC ID: 1153626593 Enrollment ID: I20231101000682 |
| Provider Name | Deborah Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215387832 PECOS PAC ID: 0547555104 Enrollment ID: I20231108001503 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20231108001814 |
| Provider Name | Laura Munzenmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971329 PECOS PAC ID: 0840628244 Enrollment ID: I20231110000437 |
| Provider Name | Melissa Cribbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982386496 PECOS PAC ID: 6901254275 Enrollment ID: I20231127002330 |
| Provider Name | Kristina Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114608486 PECOS PAC ID: 7012366404 Enrollment ID: I20231211001837 |
| Provider Name | Jaclyn Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386425445 PECOS PAC ID: 2567812324 Enrollment ID: I20231220002405 |
| Provider Name | Julia Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184497976 PECOS PAC ID: 1153771886 Enrollment ID: I20231221001396 |
| Provider Name | Tolana Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447649884 PECOS PAC ID: 2062823438 Enrollment ID: I20240116004078 |
| Provider Name | Megan Nicole Gouhin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962159525 PECOS PAC ID: 4981056728 Enrollment ID: I20240117004231 |
| Provider Name | Stephanie Burgei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174396782 PECOS PAC ID: 3274985742 Enrollment ID: I20240124002119 |
| Provider Name | David Kelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881468080 PECOS PAC ID: 1153764501 Enrollment ID: I20240213002044 |
| Provider Name | Corina M Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114614591 PECOS PAC ID: 9931544954 Enrollment ID: I20240229003059 |
| Provider Name | Jill Kocanyar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376083444 PECOS PAC ID: 2769835081 Enrollment ID: I20240229004087 |
| Provider Name | Kyla Gestring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174394100 PECOS PAC ID: 9234576703 Enrollment ID: I20240319003462 |
| Provider Name | Catherine Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255757969 PECOS PAC ID: 4981837986 Enrollment ID: I20240320002036 |
| Provider Name | Jenna Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710748439 PECOS PAC ID: 7618314907 Enrollment ID: I20240321004030 |
| Provider Name | Andreiana Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275304867 PECOS PAC ID: 4880031970 Enrollment ID: I20240325003672 |
| Provider Name | Sanaa Tahiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689318719 PECOS PAC ID: 1153768270 Enrollment ID: I20240326000445 |
| Provider Name | Marissa Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194584128 PECOS PAC ID: 8527408103 Enrollment ID: I20240430001246 |
| Provider Name | Ashley Abdul-karim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720843170 PECOS PAC ID: 7416397096 Enrollment ID: I20240430001303 |
| Provider Name | Katie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831954064 PECOS PAC ID: 1052751419 Enrollment ID: I20240502000220 |
| Provider Name | Taylor Catrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360920 PECOS PAC ID: 6709128986 Enrollment ID: I20240523002974 |
| Provider Name | Rachel Kirschling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437926623 PECOS PAC ID: 1658813290 Enrollment ID: I20240611000809 |
| Provider Name | Simone Darville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811504319 PECOS PAC ID: 2163801846 Enrollment ID: I20240702003676 |
| Provider Name | Jennifer Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427809656 PECOS PAC ID: 4486198371 Enrollment ID: I20240702003745 |
| Provider Name | Athena Harmata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144077462 PECOS PAC ID: 6204371792 Enrollment ID: I20240709001725 |
| Provider Name | Sharda Ram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457947582 PECOS PAC ID: 2860887510 Enrollment ID: I20240715001014 |
| Provider Name | Erin Piatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124862628 PECOS PAC ID: 9537608963 Enrollment ID: I20240828004735 |
| Provider Name | John Parise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295571024 PECOS PAC ID: 3476092560 Enrollment ID: I20240904000248 |
| Provider Name | Christina Bona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386490985 PECOS PAC ID: 8022559277 Enrollment ID: I20240916002225 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871119313 PECOS PAC ID: 9638594203 Enrollment ID: I20240923000111 |
| Provider Name | Shumei Sheng Horvat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508608571 PECOS PAC ID: 0042751422 Enrollment ID: I20240925003002 |
| Provider Name | Megan Eckert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184258709 PECOS PAC ID: 8628421187 Enrollment ID: I20240926000903 |
| Provider Name | Kathryn Dove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932804887 PECOS PAC ID: 8426599770 Enrollment ID: I20240926001322 |
| Provider Name | Amy E Weiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780428631 PECOS PAC ID: 2860923109 Enrollment ID: I20240927000832 |
| Provider Name | Juliana Tacardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376964452 PECOS PAC ID: 3870827983 Enrollment ID: I20241009001840 |
| Provider Name | Brant Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518703040 PECOS PAC ID: 2961934278 Enrollment ID: I20241011000601 |
| Provider Name | Peres Susanna Korie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578218400 PECOS PAC ID: 2062890577 Enrollment ID: I20241015002360 |
| Provider Name | Marissa-ashley Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942054960 PECOS PAC ID: 5890227540 Enrollment ID: I20241018001634 |
| Provider Name | Bridget Ann Sterk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124003058 PECOS PAC ID: 4789683970 Enrollment ID: I20241022003575 |
| Provider Name | Juliana Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508361486 PECOS PAC ID: 0446686034 Enrollment ID: I20241028002731 |
| Provider Name | Madeline Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598596892 PECOS PAC ID: 2769915750 Enrollment ID: I20241029003918 |
| Provider Name | Tamara Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841025897 PECOS PAC ID: 7113450776 Enrollment ID: I20241104003397 |
| Provider Name | Amy L Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790883981 PECOS PAC ID: 9436204013 Enrollment ID: I20241107001952 |
| Provider Name | Patrick Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658622 PECOS PAC ID: 4486948742 Enrollment ID: I20241115000904 |
| Provider Name | Carole Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753003 PECOS PAC ID: 7416295399 Enrollment ID: I20241205002157 |
| Provider Name | Nicole Ann Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891516134 PECOS PAC ID: 3870029275 Enrollment ID: I20241209003292 |
| Provider Name | Dawn Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639908593 PECOS PAC ID: 2466988654 Enrollment ID: I20241211002600 |
| Provider Name | Aman Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487473393 PECOS PAC ID: 7618403833 Enrollment ID: I20241211003693 |
| Provider Name | Alyssa Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417770884 PECOS PAC ID: 7315473469 Enrollment ID: I20241212000817 |
| Provider Name | Kaleigh Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487409942 PECOS PAC ID: 2567998461 Enrollment ID: I20241214000262 |
| Provider Name | Tena Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114678257 PECOS PAC ID: 8224415633 Enrollment ID: I20241218002563 |
| Provider Name | Erika Lynn Nietert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083430912 PECOS PAC ID: 5496283392 Enrollment ID: I20250106002271 |
| Provider Name | Nicole Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194540302 PECOS PAC ID: 4981132784 Enrollment ID: I20250107003097 |
| Provider Name | Lindsey Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154159721 PECOS PAC ID: 2365971124 Enrollment ID: I20250123000584 |
| Provider Name | Elizabeth Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730933755 PECOS PAC ID: 6103355706 Enrollment ID: I20250128001687 |
| Provider Name | Patricia Elie Bako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023826518 PECOS PAC ID: 5991235988 Enrollment ID: I20250205003419 |
| Provider Name | Shira Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376082917 PECOS PAC ID: 9638455546 Enrollment ID: I20250218002615 |
| Provider Name | Heather Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312655 PECOS PAC ID: 4385947126 Enrollment ID: I20250219002117 |
| Provider Name | Tiffany Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821810599 PECOS PAC ID: 8921528902 Enrollment ID: I20250220002165 |
| Provider Name | Kristina Barbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538715206 PECOS PAC ID: 5294166724 Enrollment ID: I20250221001668 |
| Provider Name | Joseph Isagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20250221002618 |
| Provider Name | Monica Conliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890617 PECOS PAC ID: 0840684304 Enrollment ID: I20250225001077 |
| Provider Name | Shaina Allensworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140396 PECOS PAC ID: 2769878503 Enrollment ID: I20250225002764 |
| Provider Name | Jaime Zeledon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666092 PECOS PAC ID: 2466747779 Enrollment ID: I20250225003039 |
| Provider Name | Angela Swary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174732093 PECOS PAC ID: 8022172675 Enrollment ID: I20250303000576 |
| Provider Name | Pamela Witek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836843 PECOS PAC ID: 8628221470 Enrollment ID: I20250303002203 |
| Provider Name | Lillie Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740584 PECOS PAC ID: 5092054056 Enrollment ID: I20250304000368 |
| Provider Name | Brittney Afram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750990875 PECOS PAC ID: 0143632661 Enrollment ID: I20250304001080 |
| Provider Name | Angelina Szuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184718330 PECOS PAC ID: 0244321560 Enrollment ID: I20250305000129 |
| Provider Name | Chelsea Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489133 PECOS PAC ID: 2860881653 Enrollment ID: I20250305003754 |
| Provider Name | Yosefa Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982252250 PECOS PAC ID: 4385053669 Enrollment ID: I20250306001623 |
| Provider Name | Mikaela Rubenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003277 PECOS PAC ID: 7315248119 Enrollment ID: I20250314001881 |
Ocat Llc Dba Evoke Wellness Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5471 Scioto Darby Rd, Hilliard, OH 43026 Phone: 954-993-2040 Fax: 954-990-6305 | |
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Wonderway Aba Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3718 Ridge Mill Dr, Hilliard, OH 43026 Phone: 678-370-9990 | |
Buckeye Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Main St, Hilliard, OH 43026 Phone: 614-334-6451 | |
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