Sanford Health Network - Medicare Mental Health Clinic in Vermillion, SD

Sanford Health Network is a medicare enrolled mental health clinic (Family Medicine) in Vermillion, South Dakota. The current practice location for Sanford Health Network is 20 S Plum St, Vermillion, South Dakota. For appointments, you can reach them via phone at (605) 624-9111. The mailing address for Sanford Health Network is Po Box 5074, Sioux Falls, South Dakota and phone number is (605) 328-6585.

Sanford Health Network is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013921733. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 624-9111.

Contact Information

Sanford Health Network
20 S Plum St
Vermillion
SD 57069-3346
(605) 624-9111
(605) 624-6636

Map and Direction


Mental Health Clinic Profile

Full NameSanford Health Network
SpecialityFamily Medicine
Location20 S Plum St, Vermillion, South Dakota
Authorized Official Name and PositionTony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE)
Authorized Official Contact6053288380
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanford Health Network
Po Box 5074
Sioux Falls
SD 57117-5074

Ph: (605) 328-6585
Sanford Health Network
20 S Plum St
Vermillion
SD 57069-3346

Ph: (605) 624-9111

NPI Details:

NPI Number1013921733
Provider Enumeration Date07/28/2006
Last Update Date11/27/2023
Certification Date06/25/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6800707100
Medicare Enrollment IDO20031111000266

Medical Identifiers

Medical identifiers for Sanford Health Network such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013921733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
163W00000XRegistered Nurse (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sanford Health Network acts as a billing entity for following providers:
Provider NameRhonda R Jorgensen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1639385388
PECOS PAC ID: 1355240011
Enrollment ID: I20040102000224
Provider NameJohn B Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275586265
PECOS PAC ID: 2860380318
Enrollment ID: I20040329001751
Provider NameTonya L Struble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336195924
PECOS PAC ID: 6608868211
Enrollment ID: I20040402000019
Provider NameMichael L Moeller
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598765877
PECOS PAC ID: 2365437274
Enrollment ID: I20040420000118
Provider NameMichelle M Hinseth
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235212754
PECOS PAC ID: 9931194610
Enrollment ID: I20040420001111
Provider NameElizabeth J Gravley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659375137
PECOS PAC ID: 4284622804
Enrollment ID: I20040503001591
Provider NameDeborah Renee Hickman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801842174
PECOS PAC ID: 5799776662
Enrollment ID: I20040519001453
Provider NameMelissa J Magstadt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093794596
PECOS PAC ID: 8628053428
Enrollment ID: I20040623001429
Provider NamePatrick W Kelly
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1134189160
PECOS PAC ID: 9234116815
Enrollment ID: I20040701000717
Provider NameMarian S Petrasko
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1881699965
PECOS PAC ID: 5092786467
Enrollment ID: I20040802000560
Provider NameTheresa M Stamato
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649225129
PECOS PAC ID: 3173504750
Enrollment ID: I20040805001039
Provider NameLaura A Davis Keppen
Provider TypePractitioner - Medical Genetics And Genomics
Provider IdentifiersNPI Number: 1356394324
PECOS PAC ID: 0547231078
Enrollment ID: I20040805001230
Provider NamePaul D Reynen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1972589174
PECOS PAC ID: 8921993981
Enrollment ID: I20040805001232
Provider NameWilliam F Waltz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649226986
PECOS PAC ID: 2264403708
Enrollment ID: I20040805001315
Provider NameShelley Janelle Morrison
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093712630
PECOS PAC ID: 5991770729
Enrollment ID: I20040826000568
Provider NameKaren A Hanisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881647774
PECOS PAC ID: 3577530575
Enrollment ID: I20040910000240
Provider NameLorinda K Holland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972503944
PECOS PAC ID: 8325015746
Enrollment ID: I20040915000350
Provider NameCurtis L Peery
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275580284
PECOS PAC ID: 2466421771
Enrollment ID: I20041001000854
Provider NamePatricia K Giebink
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386697670
PECOS PAC ID: 6800846775
Enrollment ID: I20050127001027
Provider NameKathleen M Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184697757
PECOS PAC ID: 3678524691
Enrollment ID: I20050208000318
Provider NameNeil K Jessen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205800646
PECOS PAC ID: 4486615580
Enrollment ID: I20050215000957
Provider NameChristopher B Thorson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1356315170
PECOS PAC ID: 4688626633
Enrollment ID: I20050217000604
Provider NameRajesh Singh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710933684
PECOS PAC ID: 5092767087
Enrollment ID: I20050217000877
Provider NameJon C Weber
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114939345
PECOS PAC ID: 5991751224
Enrollment ID: I20050329001240
Provider NameRoy L Mortinsen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417954918
PECOS PAC ID: 7618924663
Enrollment ID: I20050401000764
Provider NameAlan R Christensen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023097565
PECOS PAC ID: 8921082371
Enrollment ID: I20050511000584
Provider NameSteven T Redmond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548226061
PECOS PAC ID: 6103720834
Enrollment ID: I20050718000014
Provider NameShirlene K Smook
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578528576
PECOS PAC ID: 8123054970
Enrollment ID: I20050718000197
Provider NameRebecca M Leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073586632
PECOS PAC ID: 8527098649
Enrollment ID: I20050818000448
Provider NameRose Marie Hoiten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962496752
PECOS PAC ID: 3274568662
Enrollment ID: I20051005000100
Provider NameRoxanne M Phipps
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053385278
PECOS PAC ID: 2567488174
Enrollment ID: I20051021000586
Provider NameDebra Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285611616
PECOS PAC ID: 3173587342
Enrollment ID: I20051116000669
Provider NameStephen T Foley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497701841
PECOS PAC ID: 0446271928
Enrollment ID: I20051212000822
Provider NameDonald B Graham
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730136656
PECOS PAC ID: 0143133678
Enrollment ID: I20051214000443
Provider NameCynthia L Davis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194773622
PECOS PAC ID: 9638066509
Enrollment ID: I20051215000366
Provider NameYvonne B Oppold
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548205123
PECOS PAC ID: 8729975602
Enrollment ID: I20051215000561
Provider NameDennis J Glatt
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063468130
PECOS PAC ID: 9335160449
Enrollment ID: I20051215000718
Provider NameRichard D Hardie
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1487650040
PECOS PAC ID: 6204749732
Enrollment ID: I20051221000897
Provider NameMichael D Keppen
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1881690592
PECOS PAC ID: 1254244791
Enrollment ID: I20051222000600
Provider NameAshraf A Elshami
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1306842968
PECOS PAC ID: 5698797272
Enrollment ID: I20051222000746
Provider NameKasey J Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346246493
PECOS PAC ID: 3779565593
Enrollment ID: I20060113000097
Provider NameRyan D Kurtz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891889622
PECOS PAC ID: 0840204160
Enrollment ID: I20060125001019
Provider NameTravis M Sanger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922054378
PECOS PAC ID: 9032127881
Enrollment ID: I20060405000246
Provider NameSusan K Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295738789
PECOS PAC ID: 6305856428
Enrollment ID: I20060503000353
Provider NameJeremy W Holmen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972516946
PECOS PAC ID: 5193758563
Enrollment ID: I20060908000397
Provider NameAdam R Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649370784
PECOS PAC ID: 4880693357
Enrollment ID: I20061211000239
Provider NameIngrid S Hernberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982618641
PECOS PAC ID: 6800897927
Enrollment ID: I20070116000346
Provider NameRonald D Anderson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558471573
PECOS PAC ID: 4587760582
Enrollment ID: I20070516000000
Provider NameRobert S Hyk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588781090
PECOS PAC ID: 4284727801
Enrollment ID: I20070912000251
Provider NameAdam T Stys
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1083656821
PECOS PAC ID: 5496736019
Enrollment ID: I20070913000696
Provider NameRenae A Durfee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215135488
PECOS PAC ID: 3870689466
Enrollment ID: I20071011000706
Provider NameRichard J Bartl
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316018906
PECOS PAC ID: 6608962204
Enrollment ID: I20071012000078
Provider NameElizabeth M Jensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780695437
PECOS PAC ID: 2860499639
Enrollment ID: I20071016000287
Provider NameHeather A Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073795928
PECOS PAC ID: 3375633837
Enrollment ID: I20071220000313
Provider NameBrock J Doubledee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013994730
PECOS PAC ID: 4284688813
Enrollment ID: I20080513000007
Provider NameThomas B Matheson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558365106
PECOS PAC ID: 8921035213
Enrollment ID: I20080603000022
Provider NameGaddum H Reddy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1356389118
PECOS PAC ID: 9739156746
Enrollment ID: I20080623000518
Provider NameTracy Huntington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225297724
PECOS PAC ID: 8426121781
Enrollment ID: I20080724000685
Provider NameBobby J Goeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215199500
PECOS PAC ID: 1254405111
Enrollment ID: I20080811000602
Provider NameMatthew J Sorrell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972577757
PECOS PAC ID: 7012806375
Enrollment ID: I20080814000769
Provider NameChad J Carda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013139823
PECOS PAC ID: 3375637671
Enrollment ID: I20080821000093
Provider NameJon G Ryckman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1437311735
PECOS PAC ID: 8426124249
Enrollment ID: I20080902000512
Provider NameTracy F Sorenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629224167
PECOS PAC ID: 5193892529
Enrollment ID: I20080926000003
Provider NameRebecca A Palugyay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295982577
PECOS PAC ID: 9931276268
Enrollment ID: I20080929000100
Provider NameElton R Kerr
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184793622
PECOS PAC ID: 8022073311
Enrollment ID: I20081105000192
Provider NameKimberly Wilcox
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629277587
PECOS PAC ID: 8820040959
Enrollment ID: I20081126000063
Provider NameEfthimios A Bakalakos
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407868706
PECOS PAC ID: 2163583162
Enrollment ID: I20081209000798
Provider NameTony R Loggins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174508618
PECOS PAC ID: 0547244790
Enrollment ID: I20090720000106
Provider NameMiranda M Pray Dede
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174668107
PECOS PAC ID: 5193828853
Enrollment ID: I20090824000676
Provider NameMichelle L Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912107426
PECOS PAC ID: 3678628740
Enrollment ID: I20090826000478
Provider NameKayelyn J Wagner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043429087
PECOS PAC ID: 5991850620
Enrollment ID: I20090902000351
Provider NameChelsea J Twamley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760615074
PECOS PAC ID: 0042366734
Enrollment ID: I20091007000268
Provider NameKristin J Turek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386979623
PECOS PAC ID: 8426196361
Enrollment ID: I20091112000491
Provider NameDavid L Hoversten
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326014135
PECOS PAC ID: 2769521657
Enrollment ID: I20091207000283
Provider NameCandace L Verdoorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417284928
PECOS PAC ID: 6507908720
Enrollment ID: I20100126000259
Provider NameGretchen D Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336101849
PECOS PAC ID: 1658402862
Enrollment ID: I20100703000043
Provider NameJesse P Kurtenbach
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699092148
PECOS PAC ID: 1850423930
Enrollment ID: I20100726000399
Provider NameAnastasia L Searcy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871793091
PECOS PAC ID: 8921166554
Enrollment ID: I20100825000811
Provider NameChristina E Lankhorst
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1134336340
PECOS PAC ID: 7416040753
Enrollment ID: I20101019001240
Provider NameRochelle M Christensen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497795769
PECOS PAC ID: 8224024757
Enrollment ID: I20101023000040
Provider NameMarvin Buehner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730136383
PECOS PAC ID: 6002802535
Enrollment ID: I20101023000047
Provider NameKala M Shepherd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457670853
PECOS PAC ID: 0143414896
Enrollment ID: I20101027000577
Provider NameSheryl A Siegmund
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124062096
PECOS PAC ID: 5395644926
Enrollment ID: I20101101000588
Provider NameThavachenthan Thambipillai
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1487610465
PECOS PAC ID: 3779598164
Enrollment ID: I20101207000349
Provider NameNatalie A Braun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235444233
PECOS PAC ID: 9133317357
Enrollment ID: I20110103000461
Provider NameShanna L Konz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811299266
PECOS PAC ID: 6800085143
Enrollment ID: I20110118000828
Provider NameMary Beth Ellis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306136098
PECOS PAC ID: 4284810979
Enrollment ID: I20110513000239
Provider NameJohn H Shelso
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164425740
PECOS PAC ID: 1456303676
Enrollment ID: I20110606000456
Provider NamePatty A Juhnke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790941748
PECOS PAC ID: 4082891346
Enrollment ID: I20110614000435
Provider NameMohammad Qamar
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1104035955
PECOS PAC ID: 6002954195
Enrollment ID: I20110629000364
Provider NamePatrick D Munson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1811976285
PECOS PAC ID: 1658390042
Enrollment ID: I20110722000421
Provider NameJames Mathew Weekly
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1467423616
PECOS PAC ID: 2668481573
Enrollment ID: I20110802000389
Provider NameAndrew E Bourne
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1346462702
PECOS PAC ID: 7113104498
Enrollment ID: I20110825000186
Provider NameMatthew D Tschetter
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568692671
PECOS PAC ID: 4688844822
Enrollment ID: I20110826000213
Provider NameShanna Marie Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669769998
PECOS PAC ID: 4183894207
Enrollment ID: I20110829000573
Provider NameNofil Irfan Arain
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568543932
PECOS PAC ID: 3971773920
Enrollment ID: I20110830000281
Provider NameDaniel R Fritz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942425277
PECOS PAC ID: 1850561614
Enrollment ID: I20110903000007
Provider NameAnthony J Rupp
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1154524288
PECOS PAC ID: 1052507704
Enrollment ID: I20110912000517
Provider NameVishnu V Kanala
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073779138
PECOS PAC ID: 1153592704
Enrollment ID: I20110912000792
Provider NameEllen E Hopper
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487850913
PECOS PAC ID: 9335310515
Enrollment ID: I20110920000181
Provider NameObinna E Nwadibia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790940658
PECOS PAC ID: 0547431470
Enrollment ID: I20110926000010
Provider NameEmily E Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255610572
PECOS PAC ID: 1153593843
Enrollment ID: I20110929000742
Provider NameAmanda Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699056069
PECOS PAC ID: 8426220021
Enrollment ID: I20111004000011
Provider NameCourtney Merkwan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295908770
PECOS PAC ID: 2264612324
Enrollment ID: I20111004000667
Provider NameBrooke M Brusseau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609157189
PECOS PAC ID: 3173799467
Enrollment ID: I20120109000733
Provider NameCory L Kirby
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225105943
PECOS PAC ID: 4981861879
Enrollment ID: I20120203000659
Provider NameJean M Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346214525
PECOS PAC ID: 2961660147
Enrollment ID: I20120220000191
Provider NameDarcie L Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467729731
PECOS PAC ID: 0042478059
Enrollment ID: I20120222000547
Provider NameAkash S Taggarse
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811063555
PECOS PAC ID: 9537055694
Enrollment ID: I20120427000116
Provider NameGarrett R Houska
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144587932
PECOS PAC ID: 5395909378
Enrollment ID: I20120605000155
Provider NameHector E Aybar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538171962
PECOS PAC ID: 2668520693
Enrollment ID: I20120806000043
Provider NameJames S Johnston
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467684423
PECOS PAC ID: 2769639111
Enrollment ID: I20120821000067
Provider NameJason J Spah
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730454273
PECOS PAC ID: 3072763093
Enrollment ID: I20121026000489
Provider NameAmy Bakke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750340360
PECOS PAC ID: 6709891534
Enrollment ID: I20121026000699
Provider NameGage S Dixon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881822757
PECOS PAC ID: 0648422295
Enrollment ID: I20121206000462
Provider NameRebecca A Risty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437401247
PECOS PAC ID: 6103078282
Enrollment ID: I20121219000139
Provider NamePaula L Denevan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750488227
PECOS PAC ID: 5597762138
Enrollment ID: I20121219000293
Provider NameUma M Motapothula
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225365927
PECOS PAC ID: 5799938528
Enrollment ID: I20130103000448
Provider NameDawn R Bucher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992713739
PECOS PAC ID: 4587705744
Enrollment ID: I20130124000488
Provider NameBrian S Katan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104864362
PECOS PAC ID: 1153224605
Enrollment ID: I20130207000225
Provider NameAnn M Berens
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346241478
PECOS PAC ID: 5193624914
Enrollment ID: I20130211000449
Provider NameDarcie Tveidt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972841799
PECOS PAC ID: 1850546102
Enrollment ID: I20130312000561
Provider NameTaylor L Jenner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912244898
PECOS PAC ID: 9931344108
Enrollment ID: I20130319000177
Provider NameBrock C Ball
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558705863
PECOS PAC ID: 6608014626
Enrollment ID: I20130604000291
Provider NameJohn Lewis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083637086
PECOS PAC ID: 8325043938
Enrollment ID: I20130621000106
Provider NameThomas R Schuster
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063856375
PECOS PAC ID: 9133369945
Enrollment ID: I20130627000773
Provider NameKevin P Gildner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1922086958
PECOS PAC ID: 9537234513
Enrollment ID: I20130703000516
Provider NameSara K Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184062234
PECOS PAC ID: 2365683851
Enrollment ID: I20130725000594
Provider NameNathan L Hensley
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1265746556
PECOS PAC ID: 1850532029
Enrollment ID: I20130731000038
Provider NameLacey A Olson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548574015
PECOS PAC ID: 1355584814
Enrollment ID: I20130830000657
Provider NameAndrew M Terrell
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1720285323
PECOS PAC ID: 3779747134
Enrollment ID: I20130905000701
Provider NameJamie K Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093154213
PECOS PAC ID: 3072756451
Enrollment ID: I20130905000917
Provider NameEric Scott Conner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164442257
PECOS PAC ID: 4789640574
Enrollment ID: I20130913000322
Provider NameAbigail L Polzin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568787943
PECOS PAC ID: 7416191788
Enrollment ID: I20130926000694
Provider NameMichael J Damron
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740215748
PECOS PAC ID: 1355305699
Enrollment ID: I20130927000405
Provider NameAli Chaudhry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982929758
PECOS PAC ID: 6305070046
Enrollment ID: I20131011000132
Provider NameBreanne E Anderson Mueller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376771881
PECOS PAC ID: 4587899547
Enrollment ID: I20131028001900
Provider NameKara L Dahl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740416502
PECOS PAC ID: 3274781760
Enrollment ID: I20140303001948
Provider NameRose Marie Hoiten
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1962496752
PECOS PAC ID: 3274568662
Enrollment ID: I20140505002308
Provider NameShawn D Bartel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912077249
PECOS PAC ID: 2466554068
Enrollment ID: I20140707002078
Provider NamePaul T Denna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376838839
PECOS PAC ID: 8426291717
Enrollment ID: I20140804001897
Provider NameMegan J Leddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205242658
PECOS PAC ID: 4284851700
Enrollment ID: I20140807000035
Provider NamePaula Bearman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356750046
PECOS PAC ID: 2163640889
Enrollment ID: I20140821001558
Provider NameCasey M Meier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104120955
PECOS PAC ID: 5799902698
Enrollment ID: I20140916002922
Provider NameKristen Morrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245670801
PECOS PAC ID: 9638301583
Enrollment ID: I20141010000044
Provider NameScott Blanchard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598058059
PECOS PAC ID: 2567602378
Enrollment ID: I20141020001014
Provider NameAndrew R Gough
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003127903
PECOS PAC ID: 2466605878
Enrollment ID: I20141106002257
Provider NameNaveen Rajpurohit
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1235369950
PECOS PAC ID: 9335379197
Enrollment ID: I20141227000119
Provider NameRhonda K Siver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801292966
PECOS PAC ID: 0042535429
Enrollment ID: I20150205001209
Provider NameKelly A Ming
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023246915
PECOS PAC ID: 7214168251
Enrollment ID: I20150206000008
Provider NameNichole F Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699163253
PECOS PAC ID: 5193040806
Enrollment ID: I20150220000633
Provider NameNorma T Walks
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043410418
PECOS PAC ID: 6901076116
Enrollment ID: I20150226000731
Provider NamePamela Barthle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881837946
PECOS PAC ID: 9739239567
Enrollment ID: I20150228000020
Provider NameMeggan L Reisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114336153
PECOS PAC ID: 6608194352
Enrollment ID: I20150409001770
Provider NameAmy L Hiuser
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861624264
PECOS PAC ID: 2466763511
Enrollment ID: I20150616003100
Provider NamePeter Joachim Niemann
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1669602918
PECOS PAC ID: 1557517950
Enrollment ID: I20150901001171
Provider NameAbigail Grace Piazza
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225384019
PECOS PAC ID: 6305069147
Enrollment ID: I20150908001273
Provider NameTravis Curry
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1073711388
PECOS PAC ID: 7517135015
Enrollment ID: I20151002000425
Provider NameNichole R Krier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417330879
PECOS PAC ID: 8224346523
Enrollment ID: I20151007000436
Provider NameMesfin T Abera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972852390
PECOS PAC ID: 1658511688
Enrollment ID: I20151008000014
Provider NameSassen S Kwasa
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1255699260
PECOS PAC ID: 7113156233
Enrollment ID: I20151012000528
Provider NameJason D Spjut
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023320314
PECOS PAC ID: 8123279353
Enrollment ID: I20151104003029
Provider NameSarah A Roe
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1093188591
PECOS PAC ID: 1951604776
Enrollment ID: I20160127002579
Provider NameJedd D Bialas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003157488
PECOS PAC ID: 8123266897
Enrollment ID: I20160226000897
Provider NameJustin B Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205294469
PECOS PAC ID: 4183920176
Enrollment ID: I20160317001580
Provider NameCari A Folkens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194184358
PECOS PAC ID: 5193023646
Enrollment ID: I20160415001524
Provider NameMian Mansoor Javaid
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1184960452
PECOS PAC ID: 3173757101
Enrollment ID: I20160418001095
Provider NameJodee L Blaze
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093955593
PECOS PAC ID: 6305997131
Enrollment ID: I20160420002255
Provider NameRobert S Collins
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982602504
PECOS PAC ID: 8628043866
Enrollment ID: I20160510001600
Provider NameMeghan J Torgerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134584584
PECOS PAC ID: 8628367471
Enrollment ID: I20160517002218
Provider NameTeresa V Durbin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609987791
PECOS PAC ID: 7618968314
Enrollment ID: I20160602001047
Provider NameAndrew J Winterboer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578927349
PECOS PAC ID: 7113218454
Enrollment ID: I20160616002336
Provider NameBack K Hong
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1497706436
PECOS PAC ID: 1355478561
Enrollment ID: I20160624001249
Provider NameErica M Trebesch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104280296
PECOS PAC ID: 2668764416
Enrollment ID: I20160714001378
Provider NameMatthew J Denti
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336157726
PECOS PAC ID: 9335186634
Enrollment ID: I20160824002546
Provider NameMichael G Driver
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346283322
PECOS PAC ID: 4284665589
Enrollment ID: I20160908003009
Provider NameMichael P Grant
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1588646814
PECOS PAC ID: 6406883396
Enrollment ID: I20160920001702
Provider NameChelsea R Gomer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407309057
PECOS PAC ID: 5698062545
Enrollment ID: I20160921001352
Provider NameEmily Renee Haggerty
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336581552
PECOS PAC ID: 7214224021
Enrollment ID: I20160922000386
Provider NameJoel R Eggers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922441161
PECOS PAC ID: 1759513864
Enrollment ID: I20160922002751
Provider NameJacob James Miller
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1528326873
PECOS PAC ID: 2365764032
Enrollment ID: I20161007001268
Provider NameNatalie J Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376996538
PECOS PAC ID: 4385932102
Enrollment ID: I20161011002708
Provider NameJulie L Weigandt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053670729
PECOS PAC ID: 7012295777
Enrollment ID: I20161031002101
Provider NameThomas Ambrose
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679524805
PECOS PAC ID: 9537051271
Enrollment ID: I20161108001963
Provider NameAdam S Gorra
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730260803
PECOS PAC ID: 0345419917
Enrollment ID: I20161130002122
Provider NameBrandi L Gjoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326598046
PECOS PAC ID: 5799065645
Enrollment ID: I20161209001948
Provider NameAdam R Norenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912452285
PECOS PAC ID: 5597045252
Enrollment ID: I20161215000809
Provider NameJordan L Voss-severson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306395710
PECOS PAC ID: 5395026876
Enrollment ID: I20161220002244
Provider NameRachael Dekker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033423322
PECOS PAC ID: 7719003565
Enrollment ID: I20170103000387
Provider NameSarah Heckel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285177782
PECOS PAC ID: 2163703273
Enrollment ID: I20170104001299
Provider NameStephanie Van Dam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609327386
PECOS PAC ID: 8123309861
Enrollment ID: I20170111002393
Provider NameMichelle L Kutzke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972995371
PECOS PAC ID: 3779865373
Enrollment ID: I20170113002429
Provider NameLindsey A Hanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659716629
PECOS PAC ID: 3779712047
Enrollment ID: I20170125003053
Provider NameLaura Maureen Pezzuto
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770726044
PECOS PAC ID: 0446494603
Enrollment ID: I20170510002915
Provider NameTerrence J Jatczak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700330461
PECOS PAC ID: 5799052874
Enrollment ID: I20170519001471
Provider NameDavid Walter Koski
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1992746556
PECOS PAC ID: 0042341919
Enrollment ID: I20170628002361
Provider NameArveity R Setty
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174755615
PECOS PAC ID: 2769623032
Enrollment ID: I20170720002958
Provider NameJohn A Simonson
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1598184921
PECOS PAC ID: 6709003734
Enrollment ID: I20170826000450
Provider NameMegan M Weston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952843054
PECOS PAC ID: 4789957879
Enrollment ID: I20170912002608
Provider NameJamal Dodin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609294081
PECOS PAC ID: 5799902748
Enrollment ID: I20170927000358
Provider NameMayson Amy Bedient
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548675770
PECOS PAC ID: 8820215015
Enrollment ID: I20170927001702
Provider NameMichael R Powell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437562139
PECOS PAC ID: 7517188378
Enrollment ID: I20170928000982
Provider NameKaren S Prill
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1902899818
PECOS PAC ID: 4385637735
Enrollment ID: I20171010000462
Provider NameMichael Brandon Baule
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073928586
PECOS PAC ID: 5496975377
Enrollment ID: I20171016002952
Provider NameShaina L Riggs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497193239
PECOS PAC ID: 9335370303
Enrollment ID: I20171019002053
Provider NameMichelle Rene Lemberger
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235131434
PECOS PAC ID: 6800924374
Enrollment ID: I20171103001749
Provider NameLorraine E Toner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174899223
PECOS PAC ID: 6507150018
Enrollment ID: I20171116002706
Provider NameAnjali Budhathoki
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1548558166
PECOS PAC ID: 5890052252
Enrollment ID: I20171121000168
Provider NameAngela M Mackner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275058216
PECOS PAC ID: 0941567168
Enrollment ID: I20171127000787
Provider NameChelsea A Dewaard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497264063
PECOS PAC ID: 9931467263
Enrollment ID: I20171214001992
Provider NameAbbie Entringer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215449905
PECOS PAC ID: 9335407295
Enrollment ID: I20171222000577
Provider NamePaige A Meester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215446802
PECOS PAC ID: 6709144421
Enrollment ID: I20171228002730
Provider NameJonathan Craig Hersch
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548223605
PECOS PAC ID: 0244297190
Enrollment ID: I20180208002813
Provider NameTara K Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093221871
PECOS PAC ID: 0941561310
Enrollment ID: I20180227001508
Provider NameThomas H Flesher
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1053407619
PECOS PAC ID: 2163458712
Enrollment ID: I20180302000051
Provider NameJonathon J Sorensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245731728
PECOS PAC ID: 2961766431
Enrollment ID: I20180509001067
Provider NamePaul W Ng
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1730134545
PECOS PAC ID: 4688775141
Enrollment ID: I20180614001958
Provider NameSydney R Davis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1356738918
PECOS PAC ID: 6507186327
Enrollment ID: I20180615000661
Provider NameJamie Lund Olsen
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1518300573
PECOS PAC ID: 5597906990
Enrollment ID: I20180615001379
Provider NameGuy Vin Chang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154718955
PECOS PAC ID: 7810202660
Enrollment ID: I20180821003995
Provider NameElizabeth Ann Sutton
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427460385
PECOS PAC ID: 0648573188
Enrollment ID: I20180920002787
Provider NameTodd R Luedeke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700832839
PECOS PAC ID: 2466354907
Enrollment ID: I20180925001548
Provider NameSydney Pardino
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700021714
PECOS PAC ID: 0941478580
Enrollment ID: I20181002001810
Provider NameBrandi L Schave
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689155335
PECOS PAC ID: 6103170519
Enrollment ID: I20181120002927
Provider NameAmanda L Glanzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023565645
PECOS PAC ID: 8628358140
Enrollment ID: I20181218003836
Provider NameAdam Benjamin Althaus
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1952660011
PECOS PAC ID: 7810219805
Enrollment ID: I20181221001119
Provider NameThomas Geddings
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1184845026
PECOS PAC ID: 9032233796
Enrollment ID: I20190114002360
Provider NameDeborah Jerard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649291360
PECOS PAC ID: 5890939482
Enrollment ID: I20190123002418
Provider NameAndrea J Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821564451
PECOS PAC ID: 6204173537
Enrollment ID: I20190124002678
Provider NameCharles X Pugsley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245706001
PECOS PAC ID: 1355688490
Enrollment ID: I20190128000425
Provider NameMark C Daniels
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194908889
PECOS PAC ID: 4385981034
Enrollment ID: I20190204000833
Provider NameMichelle M Danielson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477031086
PECOS PAC ID: 4880947365
Enrollment ID: I20190221001703
Provider NameRobert J Roman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699750968
PECOS PAC ID: 0446156384
Enrollment ID: I20190304001758
Provider NameSyed Haris Zamir Kazmi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053575142
PECOS PAC ID: 8123277316
Enrollment ID: I20190325002325
Provider NameSumit Bhandari
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336452572
PECOS PAC ID: 2264627553
Enrollment ID: I20190326000795
Provider NameSalina A Neuman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972081453
PECOS PAC ID: 5193064111
Enrollment ID: I20190503000103
Provider NameMatthew D Poppe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346695558
PECOS PAC ID: 0941591218
Enrollment ID: I20190520000893
Provider NameMichael W Grevengoed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356837579
PECOS PAC ID: 1456695329
Enrollment ID: I20190617001791
Provider NameTeuta Shemshedini
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1760774178
PECOS PAC ID: 9133413727
Enrollment ID: I20190627001743
Provider NameKelly A Leibel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447719885
PECOS PAC ID: 1557695293
Enrollment ID: I20190628001364
Provider NameWade Sendelbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033548854
PECOS PAC ID: 1355676909
Enrollment ID: I20190718001467
Provider NameEmily Ann Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811549934
PECOS PAC ID: 9638406168
Enrollment ID: I20190807000630
Provider NameKarsten J Rohlfs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902251051
PECOS PAC ID: 9234422346
Enrollment ID: I20190913000713
Provider NameVivek V Joseph
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1669888566
PECOS PAC ID: 7315276516
Enrollment ID: I20190913001001
Provider NameWais Afzal
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1710377544
PECOS PAC ID: 2860769866
Enrollment ID: I20190924001846
Provider NameLeah L Defea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700446200
PECOS PAC ID: 2466782529
Enrollment ID: I20191002003696
Provider NameBarry D Oliver
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1033195029
PECOS PAC ID: 3870589518
Enrollment ID: I20191024002043
Provider NameRachel Leigh Rodel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023378726
PECOS PAC ID: 1850670605
Enrollment ID: I20191114002414
Provider NameKaylyn J Doney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992367429
PECOS PAC ID: 8022440734
Enrollment ID: I20191119001456
Provider NameShawn Vuong
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1861758856
PECOS PAC ID: 4486894201
Enrollment ID: I20191204001398
Provider NameJean Tejada Perez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821449414
PECOS PAC ID: 8022441971
Enrollment ID: I20191206000274
Provider NameBemnet Hailu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174985469
PECOS PAC ID: 5496048167
Enrollment ID: I20191218002348
Provider NameDarrel P Richards
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861874075
PECOS PAC ID: 0345505111
Enrollment ID: I20191231002052
Provider NameChristopher S Gacke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235770231
PECOS PAC ID: 2466886213
Enrollment ID: I20200114001358
Provider NameRavi Nalin Kapadia
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669736427
PECOS PAC ID: 6305271511
Enrollment ID: I20200210000607
Provider NameKyle Randall Bruscher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346899846
PECOS PAC ID: 3476989351
Enrollment ID: I20200213000370
Provider NameAshley Marie Landis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013557669
PECOS PAC ID: 0749617983
Enrollment ID: I20200227001300
Provider NameChristine A Duerksen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902468424
PECOS PAC ID: 3274961727
Enrollment ID: I20200316000897
Provider NameNnamdi A Uhegwu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861809717
PECOS PAC ID: 8527496025
Enrollment ID: I20200316002748
Provider NameNathan W Skelley
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1316230667
PECOS PAC ID: 9234368572
Enrollment ID: I20200327003098
Provider NameDamon Lee Nelson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184731952
PECOS PAC ID: 7911905856
Enrollment ID: I20200520003337
Provider NameSara Zoelle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417039447
PECOS PAC ID: 4587764618
Enrollment ID: I20200702000468
Provider NameJeffrey Eikanger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699793653
PECOS PAC ID: 0749241586
Enrollment ID: I20200728001830
Provider NameCarrie Jane Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972128692
PECOS PAC ID: 4789009937
Enrollment ID: I20200804003550
Provider NameJacob F Quail
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1235366691
PECOS PAC ID: 3577856855
Enrollment ID: I20200820000438
Provider NameDaryl Goh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538681929
PECOS PAC ID: 5991136368
Enrollment ID: I20200908002389
Provider NameEric V Mittelstaedt
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477996445
PECOS PAC ID: 3173825403
Enrollment ID: I20200916000279
Provider NameSheilla Kiconco
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1528582723
PECOS PAC ID: 7719305812
Enrollment ID: I20200921002711
Provider NameLucinda K Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558593954
PECOS PAC ID: 5294154753
Enrollment ID: I20201001002641
Provider NameChristen H Duke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437327343
PECOS PAC ID: 1456531409
Enrollment ID: I20201005002029
Provider NameIsaac E Grabiel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205282258
PECOS PAC ID: 4082033303
Enrollment ID: I20201006000100
Provider NameNida U Maham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689022584
PECOS PAC ID: 5294155487
Enrollment ID: I20201008001565
Provider NameMyles E Tieszen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063464683
PECOS PAC ID: 3678473949
Enrollment ID: I20201105002056
Provider NameJacob Jenner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811423346
PECOS PAC ID: 5294012522
Enrollment ID: I20201113001582
Provider NameAdam David Glanzer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932763141
PECOS PAC ID: 4385055441
Enrollment ID: I20201120000324
Provider NameKeri Lynn Crewson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003269234
PECOS PAC ID: 7911319256
Enrollment ID: I20201210001917
Provider NameGabriel M Steinborn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750906186
PECOS PAC ID: 9436561693
Enrollment ID: I20201210002998
Provider NameGregory P Studer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437757622
PECOS PAC ID: 0840602058
Enrollment ID: I20201211002035
Provider NameRosa Eyton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760093751
PECOS PAC ID: 6709298805
Enrollment ID: I20201215000309
Provider NameJodi Lynn Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033710736
PECOS PAC ID: 9436562097
Enrollment ID: I20201229001286
Provider NameNathan Alan Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659971927
PECOS PAC ID: 8224441746
Enrollment ID: I20201230001130
Provider NameCraig I Goldstein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417064189
PECOS PAC ID: 0143205195
Enrollment ID: I20210212000659
Provider NameKari L Westenkirchner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811598527
PECOS PAC ID: 8628483633
Enrollment ID: I20210224000612
Provider NameRuth A Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821698598
PECOS PAC ID: 1759797384
Enrollment ID: I20210305002199
Provider NameChantelle Alice Lou Fieber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629663935
PECOS PAC ID: 5991113912
Enrollment ID: I20210412002390
Provider NameAmy K Dwight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952906737
PECOS PAC ID: 3476961640
Enrollment ID: I20210428001392
Provider NameDaniel Sutton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1093133670
PECOS PAC ID: 4688083926
Enrollment ID: I20210517002396
Provider NameCarmen J Hendrix
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104426337
PECOS PAC ID: 9335550458
Enrollment ID: I20210601000846
Provider NameCraig Donald Smith
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275602740
PECOS PAC ID: 7214021864
Enrollment ID: I20210715001730
Provider NameRebecca Schipper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093394959
PECOS PAC ID: 6204231863
Enrollment ID: I20210819001006
Provider NameWendell Spencer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861593071
PECOS PAC ID: 3375688203
Enrollment ID: I20211028001961
Provider NameBisma Arbab
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134611866
PECOS PAC ID: 3577952340
Enrollment ID: I20211116002866
Provider NameThomas J Kass
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1467427575
PECOS PAC ID: 9335263938
Enrollment ID: I20211117003348
Provider NameJohn Nwankwo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104116169
PECOS PAC ID: 9335455005
Enrollment ID: I20211203001632
Provider NameAlexandra Josephine White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124548979
PECOS PAC ID: 8224300793
Enrollment ID: I20211221002445
Provider NameEric Dean Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649940727
PECOS PAC ID: 3476696394
Enrollment ID: I20220117000425
Provider NameClint L Benge
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710367719
PECOS PAC ID: 0042524159
Enrollment ID: I20220203002093
Provider NameKalie Anne Norberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194488395
PECOS PAC ID: 6103210497
Enrollment ID: I20220302002497
Provider NameLauren K Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386397263
PECOS PAC ID: 4981090099
Enrollment ID: I20220329001829
Provider NameChelsea Teniel Bern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669147781
PECOS PAC ID: 3779979133
Enrollment ID: I20220412000797
Provider NameManh Dang
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1780663880
PECOS PAC ID: 4082659628
Enrollment ID: I20220414001327
Provider NameEric Hick
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1346236353
PECOS PAC ID: 9436283025
Enrollment ID: I20220418001488
Provider NameLindsay M Habeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013677608
PECOS PAC ID: 2062809064
Enrollment ID: I20220421000939
Provider NameRoderick Ralph Byron
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003849092
PECOS PAC ID: 7416013651
Enrollment ID: I20220421001484
Provider NameMiranda J Obaniana
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538811138
PECOS PAC ID: 9537556394
Enrollment ID: I20220427002603
Provider NameJonathan B Morgan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1467554857
PECOS PAC ID: 6002710969
Enrollment ID: I20220527002235
Provider NamePaul A Rodriguez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477559292
PECOS PAC ID: 1557266053
Enrollment ID: I20220606001510
Provider NameLaura Loraine Rogness Peschong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083389159
PECOS PAC ID: 0345629150
Enrollment ID: I20220624002400
Provider NameDaniel A Olsen
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1366973950
PECOS PAC ID: 1759653843
Enrollment ID: I20220802002380
Provider NameLea Rae Niederbaumer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457019150
PECOS PAC ID: 5991188377
Enrollment ID: I20220817002943
Provider NameJose Luis Henao
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1275067613
PECOS PAC ID: 4789094418
Enrollment ID: I20220913000857
Provider NameJordan Elizabeth Fritch-hanson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659722478
PECOS PAC ID: 6002101375
Enrollment ID: I20220913003792
Provider NameTodd Michael Preszler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1396724282
PECOS PAC ID: 0547206260
Enrollment ID: I20220915003506
Provider NameElaine Kaime
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1396716114
PECOS PAC ID: 6103079785
Enrollment ID: I20220930002885
Provider NameSean D Kalagher
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1972715282
PECOS PAC ID: 4587810189
Enrollment ID: I20221006001774
Provider NameRonald A Kline
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1023013158
PECOS PAC ID: 5294621033
Enrollment ID: I20221103002191
Provider NameLuke Vincent Fuhrman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336602010
PECOS PAC ID: 7012384795
Enrollment ID: I20221109002224
Provider NameThekla Bacharach
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1225442171
PECOS PAC ID: 7719106806
Enrollment ID: I20221109002535
Provider NameRyan Marx Hyde
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1902114457
PECOS PAC ID: 1254525074
Enrollment ID: I20221109003197
Provider NameObiora Emmanuel Egbuche
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1164818464
PECOS PAC ID: 9335490101
Enrollment ID: I20221110002680
Provider NameMohan Babu Palla
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1477998896
PECOS PAC ID: 0648571430
Enrollment ID: I20221122001420
Provider NameRashmi Jain
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1336437078
PECOS PAC ID: 3678841103
Enrollment ID: I20221122003045
Provider NameHeather E Reber
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245444363
PECOS PAC ID: 4082883889
Enrollment ID: I20221208002249
Provider NamePaul F Ploegman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871517466
PECOS PAC ID: 1658630504
Enrollment ID: I20221212001448
Provider NameJamie Larae Andrews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457074304
PECOS PAC ID: 0941679831
Enrollment ID: I20221215002835
Provider NameQuinn Cannon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043873243
PECOS PAC ID: 2365851474
Enrollment ID: I20221220000481
Provider NameBenjamin D Hoag
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1659767234
PECOS PAC ID: 1951603893
Enrollment ID: I20221221000705
Provider NameFrank Vandy
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1922219344
PECOS PAC ID: 0941485908
Enrollment ID: I20221221002928
Provider NameAnand Dayama
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1891050969
PECOS PAC ID: 3577963495
Enrollment ID: I20221223000867
Provider NameErrol Singh
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1629141577
PECOS PAC ID: 6901793942
Enrollment ID: I20230112002892
Provider NameMadison Dale Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295467843
PECOS PAC ID: 5991176349
Enrollment ID: I20230120002344
Provider NameJessica Ann Yoshino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831812890
PECOS PAC ID: 4385016450
Enrollment ID: I20230218000458
Provider NameTara Ann Foxhoven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497469316
PECOS PAC ID: 9335513043
Enrollment ID: I20230324000561
Provider NameCarla L Uhl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457013674
PECOS PAC ID: 6800282377
Enrollment ID: I20230428001141
Provider NameEleonor Quan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1770502254
PECOS PAC ID: 9739174814
Enrollment ID: I20230512000441
Provider NameKaren F Plati
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1609890433
PECOS PAC ID: 6800969429
Enrollment ID: I20230606001810
Provider NameMichael Ryan Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336419969
PECOS PAC ID: 1557522687
Enrollment ID: I20230719001760
Provider NameGeorge Yang
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1124480389
PECOS PAC ID: 7012209737
Enrollment ID: I20230728000667
Provider NameKase Allen Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336857655
PECOS PAC ID: 1759755689
Enrollment ID: I20230802002692
Provider NameMaria S Schmoll
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487068037
PECOS PAC ID: 2365668001
Enrollment ID: I20230816001210
Provider NameEric Lup-sing Lo
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1497782023
PECOS PAC ID: 8123193208
Enrollment ID: I20230905003417
Provider NameAlexis M Semmler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861965089
PECOS PAC ID: 1850633140
Enrollment ID: I20230908000614
Provider NameDalton James Mcdaniel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164829750
PECOS PAC ID: 9739436965
Enrollment ID: I20230911002909
Provider NameJeanette Schlimme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225752819
PECOS PAC ID: 4587035431
Enrollment ID: I20230920002541
Provider NameNicole Jo Schimelpfenig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023793031
PECOS PAC ID: 4486009743
Enrollment ID: I20231006002136
Provider NameMarcus Ramzi Ibrahim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831710961
PECOS PAC ID: 6901251610
Enrollment ID: I20231016003645
Provider NameAudrey Jo Appel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629756044
PECOS PAC ID: 4880041458
Enrollment ID: I20231103002820
Provider NameCosta Hanna Sousou
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1225032857
PECOS PAC ID: 0244261592
Enrollment ID: I20231108003786
Provider NameJason Krier
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922508605
PECOS PAC ID: 2860753985
Enrollment ID: I20231116001845
Provider NamePenny Sue Virchow
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548680341
PECOS PAC ID: 2163870940
Enrollment ID: I20231205001574
Provider NameConnie Joylani
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548684665
PECOS PAC ID: 7810128303
Enrollment ID: I20231212002609
Provider NameDavid W. Bursack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508545294
PECOS PAC ID: 3678921400
Enrollment ID: I20231221002824
Provider NameJane K Willett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548236292
PECOS PAC ID: 4789727769
Enrollment ID: I20231228003380
Provider NameMichael Fucci
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124571377
PECOS PAC ID: 1355750332
Enrollment ID: I20240117002873
Provider NameAyobami Eluwole
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1598198111
PECOS PAC ID: 5799065843
Enrollment ID: I20240118003652
Provider NameWade C Vansice
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467625756
PECOS PAC ID: 3678752565
Enrollment ID: I20240119002854
Provider NameKristin Jeanine Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104503499
PECOS PAC ID: 1759724495
Enrollment ID: I20240208004547
Provider NameKristi M Spitzer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1811664204
PECOS PAC ID: 1456795509
Enrollment ID: I20240216003545
Provider NameTonusri Nag
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1235587551
PECOS PAC ID: 3870915218
Enrollment ID: I20240304001633
Provider NameJoy K. Parker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821399130
PECOS PAC ID: 9931545324
Enrollment ID: I20240307002412
Provider NameCathleen M Janitschke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487619904
PECOS PAC ID: 9537239264
Enrollment ID: I20240312001810
Provider NameJoshua J Crabtree
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538151949
PECOS PAC ID: 9830231372
Enrollment ID: I20240313003866
Provider NameIbkhan Ansine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194786467
PECOS PAC ID: 7214084185
Enrollment ID: I20240411001232
Provider NameLeland D Murren
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1639815277
PECOS PAC ID: 0941683262
Enrollment ID: I20240419000992
Provider NameGustavo F Westin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1942588918
PECOS PAC ID: 6002120193
Enrollment ID: I20240513003341
Provider NameEric John Vargas Vanderlee
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811689250
PECOS PAC ID: 0840652582
Enrollment ID: I20240610003399
Provider NameBruce S Wang
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932187788
PECOS PAC ID: 3971575887
Enrollment ID: I20240626003252
Provider NameZachary W Kendrick
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114452927
PECOS PAC ID: 5890064281
Enrollment ID: I20240705002926
Provider NameWilliam E Ward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023389087
PECOS PAC ID: 5395991400
Enrollment ID: I20240801002400
Provider NameJessica Suann Stage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932855723
PECOS PAC ID: 5991188393
Enrollment ID: I20240910002596
Provider NameCraig Andrew Swank
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043597453
PECOS PAC ID: 7618139361
Enrollment ID: I20240911002730
Provider NameMicheala Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770053308
PECOS PAC ID: 3476955949
Enrollment ID: I20240912000007
Provider NameJulvet Chepngum Mbianda
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1609398999
PECOS PAC ID: 1355782814
Enrollment ID: I20240917003593
Provider NameMatthew Fjeld
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063814739
PECOS PAC ID: 4183948367
Enrollment ID: I20240919001159
Provider NameEnes Taylan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851916316
PECOS PAC ID: 3779024302
Enrollment ID: I20240923001208
Provider NameMegan Elizabeth Flemming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326673427
PECOS PAC ID: 0345679361
Enrollment ID: I20241002003139
Provider NameDiamond N Harris
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689960429
PECOS PAC ID: 8325265887
Enrollment ID: I20241007003847
Provider NameSara Ann Wipf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447930755
PECOS PAC ID: 2567800683
Enrollment ID: I20241023002674
Provider NamePaul Bonacci
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689701609
PECOS PAC ID: 6608830880
Enrollment ID: I20241114001115
Provider NameJessica Jordan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457937195
PECOS PAC ID: 4183025844
Enrollment ID: I20241119004599
Provider NameMoataz A Ellithi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710474697
PECOS PAC ID: 3779832613
Enrollment ID: I20241204002398
Provider NameLaura Wolf
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1326605213
PECOS PAC ID: 0648507574
Enrollment ID: I20241210003450
Provider NameJeremy Lombardoni
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710254255
PECOS PAC ID: 9638345390
Enrollment ID: I20241213003269
Provider NameTulio Figarola
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1457357691
PECOS PAC ID: 8224934393
Enrollment ID: I20241227001691
Provider NameEduardo Alpay Tan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033175930
PECOS PAC ID: 2062607591
Enrollment ID: I20250102002135
Provider NameAnnie L Jacobson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174087605
PECOS PAC ID: 5890223614
Enrollment ID: I20250107004040
Provider NameAllison Paige Marlow
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1013469626
PECOS PAC ID: 3173051307
Enrollment ID: I20250115001618
Provider NameJessica Reynolds
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205105731
PECOS PAC ID: 1557504594
Enrollment ID: I20250206002492
Provider NameLaura Davis Huggins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013335520
PECOS PAC ID: 9032337449
Enrollment ID: I20250207001491
Provider NameLauren Kathleen Block
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1972321172
PECOS PAC ID: 8820518418
Enrollment ID: I20250226002077
Provider NameNiloo Krueger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376856500
PECOS PAC ID: 5890001952
Enrollment ID: I20250310000360

Reviews and Comments

Family Medicine in Vermillion, SD

Progression Psychological & Behavioral Health Group
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 414 E Clark Street,, Vermillion, SD 57069
Phone: 605-646-3045    Fax: 888-907-1567
Gapp Counseling Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Valley View Dr, Vermillion, SD 57069
Phone: 605-677-9052    
The Coping Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 21 Market St, Vermillion, SD 57069
Phone: 954-470-5945    
Hope Therapy And Evaluation Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6 W Main St, Vermillion, SD 57069
Phone: 605-657-1074    
Psychological Services Of Vermillion, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 110 E Main St, Vermillion, SD 57069
Phone: 605-624-9307    Fax: 605-624-9308

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.