| 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 | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 2961425608 |
|---|---|
| Medicare Enrollment ID | O20060109001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699747303 | NPI | - | NPPES |
| DO3768 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Brenda L Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295823482 PECOS PAC ID: 7719874353 Enrollment ID: I20040301000136 |
| Provider Name | Kellie J Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053429605 PECOS PAC ID: 2769473974 Enrollment ID: I20040518001074 |
| 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 | Susan K Redovian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740489848 PECOS PAC ID: 6103918719 Enrollment ID: I20070827000532 |
| Provider Name | Nancy L Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639364367 PECOS PAC ID: 3678668068 Enrollment ID: I20071001000112 |
| Provider Name | Trudy L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427173111 PECOS PAC ID: 0840283263 Enrollment ID: I20071119000313 |
| Provider Name | Amber Lynn Caplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013104918 PECOS PAC ID: 2769571769 Enrollment ID: I20071128000589 |
| Provider Name | Jane K Hague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134303142 PECOS PAC ID: 2668562406 Enrollment ID: I20071218000126 |
| 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 | Gail R Mangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740355767 PECOS PAC ID: 8123182854 Enrollment ID: I20090126000232 |
| 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 | Anna Hartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013061498 PECOS PAC ID: 8527104330 Enrollment ID: I20091008000472 |
| 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 | Sonia L Hissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003138611 PECOS PAC ID: 4486785011 Enrollment ID: I20100625000902 |
| 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 | Christine E Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669787354 PECOS PAC ID: 5496942989 Enrollment ID: I20101209000722 |
| 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 L 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 | Stephanie A Popovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538439294 PECOS PAC ID: 9335308774 Enrollment ID: I20120305000552 |
| 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 | Kevin M Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265787402 PECOS PAC ID: 4981851862 Enrollment ID: I20120828000761 |
| Provider Name | Mishelle L Mowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831445329 PECOS PAC ID: 8729235403 Enrollment ID: I20120831000337 |
| 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 | Caroline A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235484270 PECOS PAC ID: 1951551142 Enrollment ID: I20121024000624 |
| 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 | Christopher S Began |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023361110 PECOS PAC ID: 9830338615 Enrollment ID: I20130627000315 |
| Provider Name | Wendy T Ohliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406459 PECOS PAC ID: 5890936546 Enrollment ID: I20130723000992 |
| Provider Name | Jami L Easterday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942640990 PECOS PAC ID: 7810138237 Enrollment ID: I20130729000255 |
| 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 E Prox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273057 PECOS PAC ID: 7012142896 Enrollment ID: I20131101001603 |
| Provider Name | Timothy S Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139895 PECOS PAC ID: 8628203395 Enrollment ID: I20131105001206 |
| Provider Name | Rashelle Korbas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013345768 PECOS PAC ID: 6709011471 Enrollment ID: I20131105001258 |
| Provider Name | Sara A 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 | Donnamarie Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984936 PECOS PAC ID: 7618106428 Enrollment ID: I20140127000660 |
| Provider Name | Roberta Michelle Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254572 PECOS PAC ID: 1254560238 Enrollment ID: I20140218000134 |
| Provider Name | Sirilak Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720400419 PECOS PAC ID: 2769612464 Enrollment ID: I20140225001147 |
| 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 | Stephanie A Beeching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275953002 PECOS PAC ID: 9739303991 Enrollment ID: I20140610001880 |
| Provider Name | Kimberly L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639589773 PECOS PAC ID: 7719101732 Enrollment ID: I20140613001315 |
| Provider Name | Cheryl D Athey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801216726 PECOS PAC ID: 2961626825 Enrollment ID: I20140616000729 |
| Provider Name | Johnathan Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205256427 PECOS PAC ID: 9032334107 Enrollment ID: I20140703000246 |
| Provider Name | Donna M Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710317813 PECOS PAC ID: 5395960967 Enrollment ID: I20140716000164 |
| 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 | Amanvir Dhanoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588064497 PECOS PAC ID: 9133349988 Enrollment ID: I20140930001639 |
| Provider Name | Michelle L Bolger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528469228 PECOS PAC ID: 6305067513 Enrollment ID: I20141031000093 |
| Provider Name | Lisa Kaloczi-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154411759 PECOS PAC ID: 3072528389 Enrollment ID: I20141202001174 |
| 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 | Sayeda M Akbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710375860 PECOS PAC ID: 9638494008 Enrollment ID: I20150205001023 |
| Provider Name | Kathryn M Zangaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386032332 PECOS PAC ID: 1658696927 Enrollment ID: I20150207000345 |
| Provider Name | Antonya D Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954301 PECOS PAC ID: 5395062848 Enrollment ID: I20150323001564 |
| Provider Name | Bethany M Cottrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364389 PECOS PAC ID: 5799002614 Enrollment ID: I20150402000215 |
| Provider Name | Holly D Zastudil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775088 PECOS PAC ID: 5799006789 Enrollment ID: I20150602002545 |
| Provider Name | Susan J Sommers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295068765 PECOS PAC ID: 8820137649 Enrollment ID: I20150709000332 |
| 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 | Andrea D Hudson Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215311071 PECOS PAC ID: 7113235888 Enrollment ID: I20150929002390 |
| Provider Name | Catherine F Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144519513 PECOS PAC ID: 1153630827 Enrollment ID: I20151020001008 |
| Provider Name | Laura A Reed-mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587225 PECOS PAC ID: 7315256740 Enrollment ID: I20151026000329 |
| Provider Name | Mary R Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205205804 PECOS PAC ID: 1850600073 Enrollment ID: I20151028002532 |
| Provider Name | Tyecia M Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245613918 PECOS PAC ID: 3870893175 Enrollment ID: I20151118000513 |
| 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 | Annette Blust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954768 PECOS PAC ID: 0244538452 Enrollment ID: I20160420001953 |
| 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 | Elizabeth C Matre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366899486 PECOS PAC ID: 6800187956 Enrollment ID: I20160620001925 |
| 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 | Kathleen M Ferrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225585573 PECOS PAC ID: 6204119951 Enrollment ID: I20170203001539 |
| Provider Name | Joseph M Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821534900 PECOS PAC ID: 4688958820 Enrollment ID: I20170307000874 |
| Provider Name | Katie L 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 | Lauren Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124474275 PECOS PAC ID: 1557647039 Enrollment ID: I20170418000799 |
| Provider Name | Rhonda Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073056172 PECOS PAC ID: 6204113129 Enrollment ID: I20170502002359 |
| Provider Name | Natajlia E Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417492513 PECOS PAC ID: 2860779352 Enrollment ID: I20170510002588 |
| Provider Name | Sheena Ching-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20170510002670 |
| 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 | Jared Hostetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386164929 PECOS PAC ID: 4981976545 Enrollment ID: I20170817001369 |
| Provider Name | Stacey H Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285994772 PECOS PAC ID: 9133385263 Enrollment ID: I20170818002810 |
| Provider Name | Amber L Orellana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724488 PECOS PAC ID: 5991949299 Enrollment ID: I20170818002955 |
| Provider Name | Jaclyn Shotsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795162 PECOS PAC ID: 4385918317 Enrollment ID: I20170914002070 |
| Provider Name | Candace K Decourville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285155945 PECOS PAC ID: 2062786676 Enrollment ID: I20170920003585 |
| Provider Name | Emily Ohliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962933846 PECOS PAC ID: 2264707926 Enrollment ID: I20171005000571 |
| Provider Name | Masuma M Akter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265958268 PECOS PAC ID: 5991070690 Enrollment ID: I20171005002364 |
| 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 | Ellen D Makris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659737336 PECOS PAC ID: 1254607807 Enrollment ID: I20171025003353 |
| 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 | Alexa M Pacenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027823 PECOS PAC ID: 5496013906 Enrollment ID: I20171211000696 |
| 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 | Rachel Richnavsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558878595 PECOS PAC ID: 5496014201 Enrollment ID: I20180123002676 |
| Provider Name | Melissa L Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710493002 PECOS PAC ID: 7810257482 Enrollment ID: I20180131001444 |
| Provider Name | Asia M Vallette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619475811 PECOS PAC ID: 4183985518 Enrollment ID: I20180228001317 |
| Provider Name | Andrea M Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740724509 PECOS PAC ID: 1153685060 Enrollment ID: I20180501000721 |
| 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 | Shakeilah C Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003305855 PECOS PAC ID: 6709133481 Enrollment ID: I20180726001710 |
| Provider Name | Seth A Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356829170 PECOS PAC ID: 1658621669 Enrollment ID: I20180912000530 |
| Provider Name | Jessica Lynn Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439734 PECOS PAC ID: 0840540761 Enrollment ID: I20180913001711 |
| Provider Name | Larra Alzayed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942789003 PECOS PAC ID: 1951652676 Enrollment ID: I20180919002829 |
| Provider Name | Lanette D Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750619664 PECOS PAC ID: 8325399355 Enrollment ID: I20181001002320 |
| Provider Name | Jasmine Hegde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255711 PECOS PAC ID: 2264784149 Enrollment ID: I20181003001763 |
| Provider Name | Jesse M Rastetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851881585 PECOS PAC ID: 3971855529 Enrollment ID: I20181009001460 |
| Provider Name | Marianne J Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937324 PECOS PAC ID: 3577816669 Enrollment ID: I20181018001834 |
| Provider Name | Ebony Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528502283 PECOS PAC ID: 3274800263 Enrollment ID: I20181019002779 |
| Provider Name | Abby L Harting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952885295 PECOS PAC ID: 9436402278 Enrollment ID: I20181025000890 |
| Provider Name | Lauren E Mcnab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008674 PECOS PAC ID: 4082968946 Enrollment ID: I20181112001299 |
| Provider Name | Linda Awuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716275 PECOS PAC ID: 1951645076 Enrollment ID: I20181130000864 |
| Provider Name | Mareesa T Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740758424 PECOS PAC ID: 4082959309 Enrollment ID: I20181214000729 |
| Provider Name | Chrystal L Lipford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114495975 PECOS PAC ID: 4385980796 Enrollment ID: I20190107000313 |
| Provider Name | Eric Pasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612092 PECOS PAC ID: 0941547368 Enrollment ID: I20190123002771 |
| Provider Name | Leslie E Sauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386116820 PECOS PAC ID: 1153668462 Enrollment ID: I20190124002084 |
| 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 | Anna M Gaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063645448 PECOS PAC ID: 8325387848 Enrollment ID: I20190228000675 |
| Provider Name | Sarah E Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303185 PECOS PAC ID: 1052652807 Enrollment ID: I20190404002277 |
| Provider Name | Mia France |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962973941 PECOS PAC ID: 9234472952 Enrollment ID: I20190611003559 |
| Provider Name | Anait Grigoryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801343397 PECOS PAC ID: 5092040675 Enrollment ID: I20190718002803 |
| Provider Name | Rachel L Pusateri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811467699 PECOS PAC ID: 6608103676 Enrollment ID: I20190814000646 |
| Provider Name | Tiffany Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881246478 PECOS PAC ID: 4587993191 Enrollment ID: I20190906002537 |
| Provider Name | Samantha Collinsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255989240 PECOS PAC ID: 9931430154 Enrollment ID: I20191018001386 |
| Provider Name | Shanon Lee Mekesa Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043781925 PECOS PAC ID: 6901137181 Enrollment ID: I20191021000805 |
| Provider Name | William Allen Jatsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225680085 PECOS PAC ID: 6901138205 Enrollment ID: I20191105002067 |
| Provider Name | Katie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073164588 PECOS PAC ID: 6608209655 Enrollment ID: I20191204002135 |
| Provider Name | Julia Hoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154852 PECOS PAC ID: 3678906468 Enrollment ID: I20191209002973 |
| 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 | Taylor Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396217030 PECOS PAC ID: 3779912811 Enrollment ID: I20200410001846 |
| Provider Name | Walinda Davis-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376791723 PECOS PAC ID: 3779913017 Enrollment ID: I20200428001990 |
| Provider Name | Ashley N Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407477946 PECOS PAC ID: 9335561976 Enrollment ID: I20200626001865 |
| Provider Name | Gregary Robert Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109969 PECOS PAC ID: 4587087085 Enrollment ID: I20200630002581 |
| Provider Name | Nicole Lavon-renee Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104452051 PECOS PAC ID: 8325461593 Enrollment ID: I20200706003163 |
| Provider Name | Mckenna Van Rafelghem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336766195 PECOS PAC ID: 5991120016 Enrollment ID: I20200806003088 |
| Provider Name | Jeniffer Nerone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134692262 PECOS PAC ID: 9436574431 Enrollment ID: I20200807002517 |
| Provider Name | Cherla Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912318411 PECOS PAC ID: 1355563420 Enrollment ID: I20200811003395 |
| 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 | Angie Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326657099 PECOS PAC ID: 3375962384 Enrollment ID: I20200924001271 |
| 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 | Heather Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477153617 PECOS PAC ID: 7719397108 Enrollment ID: I20201116000172 |
| Provider Name | Nathaniel Z Raidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024354 PECOS PAC ID: 5890107643 Enrollment ID: I20201218002010 |
| Provider Name | Patricia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994685 PECOS PAC ID: 9931511656 Enrollment ID: I20201221002690 |
| Provider Name | Carolyn Pounds-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275762494 PECOS PAC ID: 7214349950 Enrollment ID: I20201222000622 |
| Provider Name | Youngra Hardwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801403738 PECOS PAC ID: 3274946470 Enrollment ID: I20210107001437 |
| Provider Name | Todd E Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521014 PECOS PAC ID: 8527471689 Enrollment ID: I20210108001723 |
| Provider Name | Christina Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456609 PECOS PAC ID: 5294015814 Enrollment ID: I20210125000331 |
| Provider Name | Kelly J Slavik-bosworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366039935 PECOS PAC ID: 9234543760 Enrollment ID: I20210125002454 |
| Provider Name | Kristina B Gadomski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407451545 PECOS PAC ID: 4587078936 Enrollment ID: I20210127000955 |
| Provider Name | Olivia Leigh Risner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013506757 PECOS PAC ID: 5991119190 Enrollment ID: I20210129001472 |
| 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 | Megan B Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003427022 PECOS PAC ID: 2365858149 Enrollment ID: I20210302001659 |
| Provider Name | Mikayla Depolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386250256 PECOS PAC ID: 2062828585 Enrollment ID: I20210309000753 |
| Provider Name | Shawn Pepera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902410020 PECOS PAC ID: 5597172106 Enrollment ID: I20210326001870 |
| Provider Name | Erica North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871180786 PECOS PAC ID: 6406263037 Enrollment ID: I20210329000324 |
| Provider Name | Lynn Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932795879 PECOS PAC ID: 2668889296 Enrollment ID: I20210329000378 |
| Provider Name | Michelle Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497331540 PECOS PAC ID: 7113326927 Enrollment ID: I20210527002485 |
| Provider Name | Meagan Mefford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073199279 PECOS PAC ID: 8820498157 Enrollment ID: I20210608002911 |
| Provider Name | Emma K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447855721 PECOS PAC ID: 9335549971 Enrollment ID: I20210617003085 |
| Provider Name | Michelle L Ludsin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194864413 PECOS PAC ID: 8325449309 Enrollment ID: I20210628003440 |
| Provider Name | Christina Oddo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750965570 PECOS PAC ID: 2769884907 Enrollment ID: I20210712001512 |
| Provider Name | Theresa A Repko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194314005 PECOS PAC ID: 1254733215 Enrollment ID: I20210713002712 |
| Provider Name | Karen Renee Fosbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558999748 PECOS PAC ID: 5193128064 Enrollment ID: I20210729002380 |
| Provider Name | Jillian M Lassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326613852 PECOS PAC ID: 8921402488 Enrollment ID: I20210804004144 |
| Provider Name | Billie K Newland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356935399 PECOS PAC ID: 4880099852 Enrollment ID: I20210830001732 |
| Provider Name | Amy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043984289 PECOS PAC ID: 1850798604 Enrollment ID: I20210922000982 |
| Provider Name | Stasia Yanasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871149666 PECOS PAC ID: 8921406208 Enrollment ID: I20211018002661 |
| Provider Name | Amy A Canini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637600 PECOS PAC ID: 0042618332 Enrollment ID: I20211018002955 |
| Provider Name | Stephanie Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245901560 PECOS PAC ID: 0143618140 Enrollment ID: I20211025001466 |
| Provider Name | Amanda Rose Dentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539685 PECOS PAC ID: 3072901644 Enrollment ID: I20211101002071 |
| Provider Name | Vickie J Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982289781 PECOS PAC ID: 5496143075 Enrollment ID: I20211101002332 |
| 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 | Angela Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235719287 PECOS PAC ID: 7810386471 Enrollment ID: I20211119001796 |
| Provider Name | Melissa E Writesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124571542 PECOS PAC ID: 5193115624 Enrollment ID: I20211124000265 |
| Provider Name | Rachel Korty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881267607 PECOS PAC ID: 6204226764 Enrollment ID: I20211124001470 |
| 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 | Barbara R Mcfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558952820 PECOS PAC ID: 1850782905 Enrollment ID: I20211227001398 |
| 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 Elizabeth 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 | Angela De George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134883747 PECOS PAC ID: 8729470224 Enrollment ID: I20220112002849 |
| Provider Name | Kathleen Sulka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427713882 PECOS PAC ID: 2466844337 Enrollment ID: I20220126003006 |
| Provider Name | Elizabeth Whipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453819 PECOS PAC ID: 4082006978 Enrollment ID: I20220127000542 |
| Provider Name | Tanya L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629058128 PECOS PAC ID: 9234378787 Enrollment ID: I20220131002206 |
| Provider Name | Chantel A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073271292 PECOS PAC ID: 9931592425 Enrollment ID: I20220204001265 |
| Provider Name | Kourtnie Iverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982152146 PECOS PAC ID: 6901299221 Enrollment ID: I20220209002700 |
| Provider Name | Lindsay Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366108342 PECOS PAC ID: 2365835493 Enrollment ID: I20220211001564 |
| Provider Name | Carrie Mofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204501 PECOS PAC ID: 2365836145 Enrollment ID: I20220221000723 |
| Provider Name | Amy Studebaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558947341 PECOS PAC ID: 0244624997 Enrollment ID: I20220223002192 |
| Provider Name | Jennifer A Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828975 PECOS PAC ID: 8224422845 Enrollment ID: I20220224002444 |
| Provider Name | Hannah Schorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740931757 PECOS PAC ID: 9830584564 Enrollment ID: I20220316002470 |
| Provider Name | Melissa Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093467987 PECOS PAC ID: 9830584408 Enrollment ID: I20220317000643 |
| Provider Name | Jana Towns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467117903 PECOS PAC ID: 4587059803 Enrollment ID: I20220322003229 |
| Provider Name | Megan Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235885906 PECOS PAC ID: 3678969672 Enrollment ID: I20220330002645 |
| Provider Name | Derrick Marple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750037560 PECOS PAC ID: 4688060429 Enrollment ID: I20220405000533 |
| Provider Name | Abbey Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871245084 PECOS PAC ID: 5294121406 Enrollment ID: I20220414001863 |
| Provider Name | Linda Florian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659964021 PECOS PAC ID: 6608263868 Enrollment ID: I20220419000822 |
| Provider Name | Kellie Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873755 PECOS PAC ID: 9739576513 Enrollment ID: I20220426000404 |
| Provider Name | Mikaelyn Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457005241 PECOS PAC ID: 4789061300 Enrollment ID: I20220519000852 |
| Provider Name | Jalane Sernessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076271 PECOS PAC ID: 0749668150 Enrollment ID: I20220525002094 |
| Provider Name | Lehem Besera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316301708 PECOS PAC ID: 8325322415 Enrollment ID: I20220526000378 |
| Provider Name | Kaitlin Sue Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780175190 PECOS PAC ID: 0749510345 Enrollment ID: I20220606001909 |
| 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 H 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 | Lisa Marie Julio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508593948 PECOS PAC ID: 3173909835 Enrollment ID: I20221003002970 |
| Provider Name | Nassima Saidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508509449 PECOS PAC ID: 4880070473 Enrollment ID: I20221005002120 |
| Provider Name | Chelsea Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875350 PECOS PAC ID: 8527444041 Enrollment ID: I20221005003445 |
| Provider Name | Somia Abou-osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700511698 PECOS PAC ID: 9436535911 Enrollment ID: I20221006002259 |
| Provider Name | Vincent Nealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124748843 PECOS PAC ID: 2567838733 Enrollment ID: I20221013002364 |
| Provider Name | Chase Ridgway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891423471 PECOS PAC ID: 2466828470 Enrollment ID: I20221017001300 |
| Provider Name | Heather Steidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669107272 PECOS PAC ID: 8729456884 Enrollment ID: I20221121001319 |
| Provider Name | Ashley Fnp Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299301 PECOS PAC ID: 4688043078 Enrollment ID: I20221206003404 |
| Provider Name | Megan Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801895636 PECOS PAC ID: 5991899759 Enrollment ID: I20221207000565 |
| 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 | Ludmyla Staddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093945594 PECOS PAC ID: 1355488438 Enrollment ID: I20230131000602 |
| Provider Name | Adrianna Reyna |
|---|---|
| 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 | 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 | Megan Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992413637 PECOS PAC ID: 9234503822 Enrollment ID: I20230322001447 |
| Provider Name | Caryn Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174229298 PECOS PAC ID: 9739554890 Enrollment ID: I20230404001186 |
| Provider Name | Emily Washam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356047658 PECOS PAC ID: 4587039599 Enrollment ID: I20230405000688 |
| Provider Name | Aubrey Lynn Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477251577 PECOS PAC ID: 2163887340 Enrollment ID: I20230421000757 |
| Provider Name | Dominique Fatica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003517921 PECOS PAC ID: 8921463472 Enrollment ID: I20230505000395 |
| Provider Name | Jeremy Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578273074 PECOS PAC ID: 1557727880 Enrollment ID: I20230511002367 |
| Provider Name | Marigold Zoghzoghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295421295 PECOS PAC ID: 4385001114 Enrollment ID: I20230608003106 |
| 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 | Fiona Flaherty-hord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538857271 PECOS PAC ID: 6103284732 Enrollment ID: I20230614001072 |
| Provider Name | Fernanda 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 | Stacy Davey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881378891 PECOS PAC ID: 8729449731 Enrollment ID: I20230807001110 |
| Provider Name | Claire Robeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679295000 PECOS PAC ID: 6204298995 Enrollment ID: I20230811002189 |
| Provider Name | Kathleen M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659052678 PECOS PAC ID: 8820442031 Enrollment ID: I20230921002331 |
| Provider Name | Kristin Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000750 PECOS PAC ID: 0345694238 Enrollment ID: I20230926003485 |
| 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 | Natasha Mckoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538944459 PECOS PAC ID: 9032567318 Enrollment ID: I20231127003067 |
| 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 | 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 | Dawn Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821861725 PECOS PAC ID: 5597100420 Enrollment ID: I20240229003794 |
| Provider Name | Jill Kocanyar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376083444 PECOS PAC ID: 2769835081 Enrollment ID: I20240229004087 |
Mill Run Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Fishinger Blvd, Hilliard, OH 43026 Phone: 614-917-1001 Fax: 614-771-5267 | |
Buckeye Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Main St, Hilliard, OH 43026 Phone: 614-334-6451 | |
Revelations Residential Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3718 Ridge Mill Dr, Hilliard, OH 43026 Phone: 614-401-7780 | |
Easterseals Central And Southeast Ohio, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3830 Trueman Ct, Hilliard, OH 43026 Phone: 614-228-5523 Fax: 614-228-8151 | |
Seeking Calm Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3273 Reed Point Dr, Hilliard, OH 43026 Phone: 614-342-0126 | |
Amelia Roberts, Msw, Lisw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Main St, Suite 2, Hilliard, OH 43026 Phone: 740-625-1574 | |
Central Ohio Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5440 Tretorn Dr, Hilliard, OH 43026 Phone: 614-680-3111 |