Mrs Kelly Lynn Elder, FNP-C | |
929 E Commercial Ave, Lowell, IN 46356-2307 | |
(219) 233-5400 | |
(219) 292-4100 |
Full Name | Mrs Kelly Lynn Elder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 929 E Commercial Ave, Lowell, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518379130 | NPI | - | NPPES |
300095489 | Medicaid | IN | |
1102355858 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71005229A (Indiana) | Primary |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Entity Name | Advanced Healing And Wellness Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730922154 PECOS PAC ID: 2769917897 Enrollment ID: O20241126000544 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Lynn Elder, FNP-C 801 Macarthur Blvd Ste 401, Munster, IN 46321-2919 Ph: (219) 836-7713 | Mrs Kelly Lynn Elder, FNP-C 929 E Commercial Ave, Lowell, IN 46356-2307 Ph: (219) 233-5400 |
Alejandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18627 White Oak Ave, Lowell, IN 46356 Phone: 219-671-7443 | |
Mrs. Angela Jean Gard, RN, BSN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17648 Morse St, Lowell, IN 46356 Phone: 219-696-6258 | |
Jessica Goodman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2068 Lucas Pkwy, Lowell, IN 46356 Phone: 219-690-7025 | |
Mrs. Latasha Pittman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2072b E Commercial Ave, Lowell, IN 46356 Phone: 219-696-6880 | |
Jill Irene Maddack, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 | |
Kimberly Ann Arreola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16688 Willard Ln, Lowell, IN 46356 Phone: 219-775-7891 |