| Centracare - River Campus Clinic | |
|
1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 650-1777 |
| Full Name | Centracare - River Campus Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Sixth Ave No, St Cloud, Minnesota |
| Authorized Official Name and Position | Michael a Blair (SR VP & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare - River Campus Clinic Po Box 735818 Chicago IL 60673-5818 Ph: (320) 252-5131 | Centracare - River Campus Clinic 1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 Ph: (320) 252-5131 |
| NPI Number | 1043212665 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 09/17/2026 |
| Certification Date | 09/17/2026 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20031105000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043212665 | NPI | - | NPPES |
| 35580 | Other | HEALTH PARTNERS | |
| 110890 | Other | U CARE | |
| 6D053CE | Other | BLUE CROSS BLUE SHIELD | |
| 9804122 | Other | MN | MEDICA |
| 990228700 | Medicaid | MN | |
| N002912 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
| Provider Name | Maureen L Kemper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184719437 PECOS PAC ID: 2163335381 Enrollment ID: I20031112000402 |
| Provider Name | Julie K Youngs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538136882 PECOS PAC ID: 6608777677 Enrollment ID: I20040114000418 |
| Provider Name | Penny L Rubesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013984491 PECOS PAC ID: 1658273784 Enrollment ID: I20040121000242 |
| Provider Name | Olayiwola R Adetunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578552477 PECOS PAC ID: 8123920865 Enrollment ID: I20040123000239 |
| Provider Name | Brett a Pinkerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160583 PECOS PAC ID: 6406758010 Enrollment ID: I20040123000685 |
| Provider Name | Robert S Waldon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912909417 PECOS PAC ID: 3375436728 Enrollment ID: I20040207000388 |
| Provider Name | David P Buhl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215902978 PECOS PAC ID: 2668368697 Enrollment ID: I20040225001063 |
| Provider Name | Randall J Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821005638 PECOS PAC ID: 8921995259 Enrollment ID: I20040302000604 |
| Provider Name | Shakeel Anjum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639169394 PECOS PAC ID: 1456248624 Enrollment ID: I20040302000904 |
| Provider Name | Patrick J Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679554745 PECOS PAC ID: 1456249804 Enrollment ID: I20040308000549 |
| Provider Name | Daron Gersch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053320739 PECOS PAC ID: 9133017593 Enrollment ID: I20040308000577 |
| Provider Name | Thom G Dahle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760458673 PECOS PAC ID: 4688564081 Enrollment ID: I20040318001068 |
| Provider Name | Pushp R Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184677445 PECOS PAC ID: 7416943758 Enrollment ID: I20040422000818 |
| Provider Name | Liaqat a Sabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083659288 PECOS PAC ID: 6901893270 Enrollment ID: I20040428000957 |
| Provider Name | Charlene a Gerner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083713648 PECOS PAC ID: 5991792038 Enrollment ID: I20040505000907 |
| Provider Name | Louis J Heck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811047517 PECOS PAC ID: 4789674607 Enrollment ID: I20040513000929 |
| Provider Name | Todd Severnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790775393 PECOS PAC ID: 2567452410 Enrollment ID: I20040513001105 |
| Provider Name | Daniel C E Peterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124005822 PECOS PAC ID: 0446231294 Enrollment ID: I20040527000075 |
| Provider Name | Aaron R Holmgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386624310 PECOS PAC ID: 1850373739 Enrollment ID: I20040603001262 |
| Provider Name | Melissa L Dols |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144288754 PECOS PAC ID: 7719969641 Enrollment ID: I20040604000026 |
| Provider Name | Victoria L Fenstermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114074150 PECOS PAC ID: 7416939087 Enrollment ID: I20040607000553 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Jennifer J Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487684098 PECOS PAC ID: 3779569496 Enrollment ID: I20040624001436 |
| Provider Name | Christopher W Boelter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316981053 PECOS PAC ID: 9537145057 Enrollment ID: I20040625000749 |
| Provider Name | Sherrie L Erickson-birkedahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407830482 PECOS PAC ID: 4082690169 Enrollment ID: I20040629000178 |
| Provider Name | Leah a Holmgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982658266 PECOS PAC ID: 1951387976 Enrollment ID: I20040629000551 |
| Provider Name | Shawn M Severson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760466130 PECOS PAC ID: 1951388966 Enrollment ID: I20040707000453 |
| Provider Name | Kevin August Wohletz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760404354 PECOS PAC ID: 7416937800 Enrollment ID: I20040726000242 |
| Provider Name | Sarah R Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508829037 PECOS PAC ID: 0446220362 Enrollment ID: I20040728001220 |
| Provider Name | Paul R Sander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902918451 PECOS PAC ID: 4486626959 Enrollment ID: I20040806000546 |
| Provider Name | James P Kromhout |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720098932 PECOS PAC ID: 1052383007 Enrollment ID: I20040810000760 |
| Provider Name | William J Lund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275523870 PECOS PAC ID: 4183609324 Enrollment ID: I20040811000108 |
| Provider Name | Craig M Doschadis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265423925 PECOS PAC ID: 9830162734 Enrollment ID: I20040818000822 |
| Provider Name | George a Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033288584 PECOS PAC ID: 6305819210 Enrollment ID: I20040818000892 |
| Provider Name | Lisa a Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104282094 PECOS PAC ID: 4880668169 Enrollment ID: I20040823000930 |
| Provider Name | Amy L Fair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245204346 PECOS PAC ID: 4486621158 Enrollment ID: I20040913000706 |
| Provider Name | Julie a Klasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312955 PECOS PAC ID: 2163499849 Enrollment ID: I20040913000763 |
| Provider Name | Donald J Jurgens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134105265 PECOS PAC ID: 3274500418 Enrollment ID: I20040915001205 |
| Provider Name | Paula K Redemske |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962687830 PECOS PAC ID: 1951370121 Enrollment ID: I20040927000033 |
| Provider Name | Brigette B Ritter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295711273 PECOS PAC ID: 5597724112 Enrollment ID: I20041007000673 |
| Provider Name | Amanda M Engelking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316972003 PECOS PAC ID: 7315909470 Enrollment ID: I20041101000456 |
| Provider Name | Susan M Piehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790767929 PECOS PAC ID: 0941264162 Enrollment ID: I20041117000757 |
| Provider Name | Albert a Mercuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871557918 PECOS PAC ID: 3375507593 Enrollment ID: I20041117000782 |
| Provider Name | Stephany S Latunski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033100425 PECOS PAC ID: 9931163896 Enrollment ID: I20041119000211 |
| Provider Name | Carol J Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366433849 PECOS PAC ID: 8921062886 Enrollment ID: I20041119000219 |
| Provider Name | Timothy L Malling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277668 PECOS PAC ID: 2567356967 Enrollment ID: I20041123001084 |
| Provider Name | Steven Paul Hanovich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811099419 PECOS PAC ID: 9739145582 Enrollment ID: I20041203000598 |
| Provider Name | James R Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962470302 PECOS PAC ID: 3577529239 Enrollment ID: I20041203000776 |
| Provider Name | Chad a Haroldson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518927433 PECOS PAC ID: 3870550411 Enrollment ID: I20041215000123 |
| Provider Name | Paula a Lindhorst |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164498127 PECOS PAC ID: 8921065285 Enrollment ID: I20041217000661 |
| Provider Name | Arif Somani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363503 PECOS PAC ID: 5991763500 Enrollment ID: I20041229000697 |
| Provider Name | Kurt M Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457377657 PECOS PAC ID: 4587612270 Enrollment ID: I20050110000550 |
| Provider Name | Donna K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811987217 PECOS PAC ID: 1456304070 Enrollment ID: I20050223000751 |
| Provider Name | Walter L Sia Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477542371 PECOS PAC ID: 2466499744 Enrollment ID: I20050408000871 |
| Provider Name | Kristin N M Ewing |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669420709 PECOS PAC ID: 5395782825 Enrollment ID: I20050415000114 |
| Provider Name | Gemma C Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726749 PECOS PAC ID: 0345288015 Enrollment ID: I20050502001067 |
| Provider Name | Jerone D Kennedy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780644401 PECOS PAC ID: 0941293377 Enrollment ID: I20050510000151 |
| Provider Name | Christopher D Leville |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699776310 PECOS PAC ID: 0749221398 Enrollment ID: I20050513000550 |
| Provider Name | Thomas R Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326019159 PECOS PAC ID: 4880635200 Enrollment ID: I20050517000082 |
| Provider Name | Paul E Vangorp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639160898 PECOS PAC ID: 8729020375 Enrollment ID: I20050524001342 |
| Provider Name | Sharon F Lissman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205871993 PECOS PAC ID: 4284626995 Enrollment ID: I20050601000312 |
| Provider Name | Paul L Marek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118920 PECOS PAC ID: 4183695505 Enrollment ID: I20050603000417 |
| Provider Name | Julia Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750497996 PECOS PAC ID: 1052357928 Enrollment ID: I20050630000437 |
| Provider Name | Jacqueline J Polipnick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891723847 PECOS PAC ID: 8224074612 Enrollment ID: I20050707000667 |
| Provider Name | Bryan Rolph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669463717 PECOS PAC ID: 9436185766 Enrollment ID: I20050708000729 |
| Provider Name | Troy a Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073561619 PECOS PAC ID: 5597678425 Enrollment ID: I20050711000631 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20050713000174 |
| Provider Name | Camelia S Florea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639169303 PECOS PAC ID: 5799712071 Enrollment ID: I20050719000226 |
| Provider Name | Kathryn a Katka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669494159 PECOS PAC ID: 6305873688 Enrollment ID: I20050719000241 |
| Provider Name | Jamie Michael Pelzel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750340485 PECOS PAC ID: 9436186533 Enrollment ID: I20050720000652 |
| Provider Name | Sheila M Christen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184712234 PECOS PAC ID: 3870520604 Enrollment ID: I20050722000436 |
| Provider Name | Rwanda D Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174599641 PECOS PAC ID: 5799713129 Enrollment ID: I20050727001129 |
| Provider Name | Matthew Jon Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770507600 PECOS PAC ID: 9739118563 Enrollment ID: I20050811000375 |
| Provider Name | Amy L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609866201 PECOS PAC ID: 0446280010 Enrollment ID: I20050815000463 |
| Provider Name | Becky Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336120971 PECOS PAC ID: 8426088998 Enrollment ID: I20050815000482 |
| Provider Name | Maria D Mallory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689664344 PECOS PAC ID: 8628008109 Enrollment ID: I20050815000536 |
| Provider Name | Kristin N Francois |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477531267 PECOS PAC ID: 9335170190 Enrollment ID: I20050822001355 |
| Provider Name | Shawn M Mcgee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427023514 PECOS PAC ID: 2567493877 Enrollment ID: I20050826000215 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
| Provider Name | Joyce Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922089796 PECOS PAC ID: 8123051737 Enrollment ID: I20050914000862 |
| Provider Name | Nancy J Decker Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407825003 PECOS PAC ID: 8022042712 Enrollment ID: I20050922000081 |
| Provider Name | Stephanie D Grahek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457341117 PECOS PAC ID: 1850326620 Enrollment ID: I20050929000966 |
| Provider Name | Deanna H Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427086578 PECOS PAC ID: 1759316292 Enrollment ID: I20051004000032 |
| Provider Name | Scott a Rahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982648671 PECOS PAC ID: 6002891884 Enrollment ID: I20051004000064 |
| Provider Name | Melissa M Barry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700846425 PECOS PAC ID: 2769417278 Enrollment ID: I20051004000545 |
| Provider Name | Rebecca M Wirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619950292 PECOS PAC ID: 6608891585 Enrollment ID: I20051010000867 |
| Provider Name | Clarice H Konshok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106986 PECOS PAC ID: 2668498999 Enrollment ID: I20051017000532 |
| Provider Name | Dinesh Hindka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949486 PECOS PAC ID: 9931125408 Enrollment ID: I20051024000664 |
| Provider Name | Sayeed Ikramuddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417988510 PECOS PAC ID: 5395763718 Enrollment ID: I20051103001161 |
| Provider Name | Christina K Anderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053313692 PECOS PAC ID: 7618995770 Enrollment ID: I20051107000912 |
| Provider Name | Joni C Zehm-steffens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588646723 PECOS PAC ID: 4385662444 Enrollment ID: I20051107000973 |
| Provider Name | Kelly Marie Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285605592 PECOS PAC ID: 6002838489 Enrollment ID: I20051229000018 |
| Provider Name | Shannon R Hackett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982622791 PECOS PAC ID: 8123032984 Enrollment ID: I20060131000828 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| Provider Name | Cynthia J Betzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992742357 PECOS PAC ID: 8426064809 Enrollment ID: I20060222000198 |
| Provider Name | Cheryl J Benck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114092483 PECOS PAC ID: 4880603026 Enrollment ID: I20060417000112 |
| Provider Name | Daniel T Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740341528 PECOS PAC ID: 9931118171 Enrollment ID: I20060417000151 |
| Provider Name | Thomas B Falloon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902897051 PECOS PAC ID: 4880604529 Enrollment ID: I20060426000345 |
| Provider Name | Craig John Bergh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780649715 PECOS PAC ID: 5890705917 Enrollment ID: I20060504000026 |
| Provider Name | Denise Christie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902859200 PECOS PAC ID: 6406866482 Enrollment ID: I20060504000786 |
| Provider Name | David L Furda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887946 PECOS PAC ID: 8628089729 Enrollment ID: I20060602000158 |
| Provider Name | Tamara W Congdon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219056 PECOS PAC ID: 4688685787 Enrollment ID: I20060602000179 |
| Provider Name | Kurt a Martinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245281302 PECOS PAC ID: 8820066889 Enrollment ID: I20060605000148 |
| Provider Name | Patricia a Nee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578553236 PECOS PAC ID: 7810908951 Enrollment ID: I20060605000239 |
| Provider Name | Benjamin Daniel Parker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609823699 PECOS PAC ID: 4082626148 Enrollment ID: I20060608000258 |
| Provider Name | Lisa M Neuman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174569388 PECOS PAC ID: 2668484866 Enrollment ID: I20060706000138 |
| Provider Name | Darren R Chihos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427011857 PECOS PAC ID: 0244243269 Enrollment ID: I20060717000123 |
| Provider Name | Daniel Brent Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295779809 PECOS PAC ID: 0446263230 Enrollment ID: I20060721000005 |
| Provider Name | Charles J Doucet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063444149 PECOS PAC ID: 9335152883 Enrollment ID: I20060728000298 |
| Provider Name | Panagiotis Panagiotakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043241292 PECOS PAC ID: 6002829306 Enrollment ID: I20060802000375 |
| Provider Name | Shawn K Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549152 PECOS PAC ID: 2567465628 Enrollment ID: I20060810000552 |
| Provider Name | Wade T Schmidt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629031190 PECOS PAC ID: 8820091986 Enrollment ID: I20060810000557 |
| Provider Name | James H Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154346237 PECOS PAC ID: 5496758302 Enrollment ID: I20060815000250 |
| Provider Name | John M Houle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073531885 PECOS PAC ID: 8426052507 Enrollment ID: I20060901000076 |
| Provider Name | Sara E Boleyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396773537 PECOS PAC ID: 6608870530 Enrollment ID: I20060908000039 |
| Provider Name | Dawn M Michaud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316965460 PECOS PAC ID: 6103821327 Enrollment ID: I20060921000582 |
| Provider Name | Yang Koua Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821078783 PECOS PAC ID: 2769487529 Enrollment ID: I20060929000085 |
| Provider Name | Jonathan R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336153725 PECOS PAC ID: 7113924481 Enrollment ID: I20061030000208 |
| Provider Name | Rachel Louise Schuneman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366422214 PECOS PAC ID: 3577560671 Enrollment ID: I20061102000542 |
| Provider Name | Sheri W Haroldson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780613927 PECOS PAC ID: 2769489665 Enrollment ID: I20061108000137 |
| Provider Name | Nancy L Sokoloski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609859115 PECOS PAC ID: 5698773844 Enrollment ID: I20061122000101 |
| Provider Name | Theodore W Ruzanic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932273943 PECOS PAC ID: 6002816113 Enrollment ID: I20070112000338 |
| Provider Name | Erin Y Scapanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588734214 PECOS PAC ID: 9335241439 Enrollment ID: I20070220000543 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023077740 PECOS PAC ID: 9133167752 Enrollment ID: I20070228000251 |
| Provider Name | Andrew Waititu Kiragu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932128147 PECOS PAC ID: 3971605551 Enrollment ID: I20070228000482 |
| Provider Name | Mark Whitson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235282013 PECOS PAC ID: 0547363814 Enrollment ID: I20070307000614 |
| Provider Name | Dahlia H Elkadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902855109 PECOS PAC ID: 2668576299 Enrollment ID: I20070409000382 |
| Provider Name | Troy a Payne |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083682561 PECOS PAC ID: 1759316318 Enrollment ID: I20070424000061 |
| Provider Name | Annette M Trudeau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841398443 PECOS PAC ID: 0648376327 Enrollment ID: I20070427000041 |
| Provider Name | Rufino R Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376665182 PECOS PAC ID: 8426155052 Enrollment ID: I20070516000367 |
| Provider Name | Lindsay Jo Dingman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194847418 PECOS PAC ID: 8325147960 Enrollment ID: I20070625000619 |
| Provider Name | Christine S Goudge Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104962844 PECOS PAC ID: 4486753670 Enrollment ID: I20070629000099 |
| Provider Name | Sujatha Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699899468 PECOS PAC ID: 6608976311 Enrollment ID: I20070711000088 |
| Provider Name | Mohamed Y Maray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396864765 PECOS PAC ID: 4385735521 Enrollment ID: I20070802000326 |
| Provider Name | Jacob R Dutcher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619000999 PECOS PAC ID: 4981795754 Enrollment ID: I20070808000365 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Shannon R Cabrera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457423782 PECOS PAC ID: 6608968672 Enrollment ID: I20070822000704 |
| Provider Name | Melanie M Zenzen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598966145 PECOS PAC ID: 7911090238 Enrollment ID: I20070831000603 |
| Provider Name | Katheryn a Strandberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851466783 PECOS PAC ID: 4385737048 Enrollment ID: I20070911000643 |
| Provider Name | Daniel W Kraft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982737938 PECOS PAC ID: 3375636038 Enrollment ID: I20070911000653 |
| Provider Name | Michael D Hiscock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306911508 PECOS PAC ID: 4587758180 Enrollment ID: I20070913000127 |
| Provider Name | Brent M Esterberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225003312 PECOS PAC ID: 0244298305 Enrollment ID: I20070926000969 |
| Provider Name | Soumathy Prosper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629271671 PECOS PAC ID: 0143315630 Enrollment ID: I20070928000070 |
| Provider Name | Christine TR Boese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548452204 PECOS PAC ID: 0547355943 Enrollment ID: I20071001000163 |
| Provider Name | Alyas Masih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356460729 PECOS PAC ID: 6709972599 Enrollment ID: I20071009000719 |
| Provider Name | Charles Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376594457 PECOS PAC ID: 6901994979 Enrollment ID: I20071109000123 |
| Provider Name | Teresa V Levitski-heikkila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366408536 PECOS PAC ID: 8628014941 Enrollment ID: I20071214000305 |
| Provider Name | Susan a Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336334663 PECOS PAC ID: 3779663158 Enrollment ID: I20080110000572 |
| Provider Name | Crispin R Domingo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043354376 PECOS PAC ID: 7315028958 Enrollment ID: I20080121000325 |
| Provider Name | Elizabeth C Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063607083 PECOS PAC ID: 6800978339 Enrollment ID: I20080123000508 |
| Provider Name | Hanadee I Alameldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407864150 PECOS PAC ID: 8628072147 Enrollment ID: I20080205000341 |
| Provider Name | Barbara a Carver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871691691 PECOS PAC ID: 2365526076 Enrollment ID: I20080219000685 |
| Provider Name | Jill T Stang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992796841 PECOS PAC ID: 1951485853 Enrollment ID: I20080303000285 |
| Provider Name | Gina M Wippler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265524136 PECOS PAC ID: 4284712209 Enrollment ID: I20080416000330 |
| Provider Name | Penelope J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124003751 PECOS PAC ID: 7810066263 Enrollment ID: I20080527000465 |
| Provider Name | Eric N Haugen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821062415 PECOS PAC ID: 4486759784 Enrollment ID: I20080603000660 |
| Provider Name | Kathleen a Rieke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396899449 PECOS PAC ID: 8729150180 Enrollment ID: I20080701000251 |
| Provider Name | Samuel John Francois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912175233 PECOS PAC ID: 1557433760 Enrollment ID: I20080703000311 |
| Provider Name | Megan a Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235399635 PECOS PAC ID: 2264505247 Enrollment ID: I20080724000208 |
| Provider Name | Kathleen a Kulus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982685046 PECOS PAC ID: 1557435948 Enrollment ID: I20080802000064 |
| Provider Name | Jody a Kirchner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174566368 PECOS PAC ID: 0547334781 Enrollment ID: I20080805000844 |
| Provider Name | Jeanne M Notsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487644134 PECOS PAC ID: 6800960014 Enrollment ID: I20080806000664 |
| Provider Name | Kurt a Habben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972794865 PECOS PAC ID: 3476629106 Enrollment ID: I20080904000148 |
| Provider Name | Andrew L Wilkey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073646386 PECOS PAC ID: 3072694850 Enrollment ID: I20080917000867 |
| Provider Name | Keith J Leavell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184606311 PECOS PAC ID: 3678640406 Enrollment ID: I20080922000028 |
| Provider Name | Oluade a Ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003898230 PECOS PAC ID: 9436226875 Enrollment ID: I20080926000051 |
| Provider Name | Christine M Bulisco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306061726 PECOS PAC ID: 4981772340 Enrollment ID: I20081013000177 |
| Provider Name | Amy Martyanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922270768 PECOS PAC ID: 3173681459 Enrollment ID: I20081016000014 |
| Provider Name | Muhammad K Suri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912054214 PECOS PAC ID: 7911065867 Enrollment ID: I20081021000508 |
| Provider Name | John F Knorp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669530952 PECOS PAC ID: 5698876613 Enrollment ID: I20081028000833 |
| Provider Name | Stacy a Quast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508020769 PECOS PAC ID: 0446319727 Enrollment ID: I20081030000764 |
| Provider Name | Micaela E Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598929812 PECOS PAC ID: 8527127737 Enrollment ID: I20081103000531 |
| Provider Name | William L Goodmanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679554851 PECOS PAC ID: 3476612573 Enrollment ID: I20081104000546 |
| Provider Name | Sarah E Meisinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225078389 PECOS PAC ID: 3779644364 Enrollment ID: I20081201000389 |
| Provider Name | Ellen E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437135027 PECOS PAC ID: 1456412063 Enrollment ID: I20081201000544 |
| Provider Name | Mary C Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922292846 PECOS PAC ID: 9638230295 Enrollment ID: I20081202000303 |
| Provider Name | Susan a Heying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659536548 PECOS PAC ID: 7416018106 Enrollment ID: I20081213000144 |
| Provider Name | Joel E Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922299197 PECOS PAC ID: 8628130366 Enrollment ID: I20081215000450 |
| Provider Name | Robin C Marushin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154466209 PECOS PAC ID: 8527120518 Enrollment ID: I20081230000165 |
| Provider Name | Christopher J Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770757429 PECOS PAC ID: 3274696083 Enrollment ID: I20090105000558 |
| Provider Name | Edward M Beadle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848731 PECOS PAC ID: 6800709544 Enrollment ID: I20090130000160 |
| Provider Name | Michael S Bragge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922264910 PECOS PAC ID: 3870657067 Enrollment ID: I20090203000428 |
| Provider Name | Ann M Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164673190 PECOS PAC ID: 5395800049 Enrollment ID: I20090213000129 |
| Provider Name | Jesse L Goembel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356486963 PECOS PAC ID: 9830295641 Enrollment ID: I20090326000349 |
| Provider Name | Dove D Watkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629069778 PECOS PAC ID: 0749257400 Enrollment ID: I20090327000460 |
| Provider Name | Michael L Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744789 PECOS PAC ID: 0941113666 Enrollment ID: I20090403000494 |
| Provider Name | Jasmine S Folger-latterell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942457098 PECOS PAC ID: 3274680392 Enrollment ID: I20090407000376 |
| Provider Name | Dennis L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508885013 PECOS PAC ID: 5991781437 Enrollment ID: I20090408000331 |
| Provider Name | Cynthia K Gronau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124094842 PECOS PAC ID: 0749337699 Enrollment ID: I20090409000437 |
| Provider Name | Timothy N Rowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457592909 PECOS PAC ID: 1850449851 Enrollment ID: I20090430000531 |
| Provider Name | Amy C Keranen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376745810 PECOS PAC ID: 6406908151 Enrollment ID: I20090710000325 |
| Provider Name | Luke a Herdina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720118912 PECOS PAC ID: 8022112069 Enrollment ID: I20090716000336 |
| Provider Name | Richard J Backes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871595686 PECOS PAC ID: 0648322750 Enrollment ID: I20090721000759 |
| Provider Name | Bernard R Erickson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306848122 PECOS PAC ID: 1456403468 Enrollment ID: I20090722000049 |
| Provider Name | Timothy N Schuchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114913217 PECOS PAC ID: 1456403476 Enrollment ID: I20090722000059 |
| Provider Name | Jeffrey E Nowak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972710143 PECOS PAC ID: 4385736172 Enrollment ID: I20090722000296 |
| Provider Name | Srilakshmi Lankireddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376706580 PECOS PAC ID: 8527129766 Enrollment ID: I20090723000807 |
| Provider Name | Daniel James Tiede |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306839949 PECOS PAC ID: 8628121514 Enrollment ID: I20090724000104 |
| Provider Name | Mary K Hellier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356391015 PECOS PAC ID: 5395898266 Enrollment ID: I20090727000047 |
| Provider Name | James Sayovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427094606 PECOS PAC ID: 5395898720 Enrollment ID: I20090803000679 |
| Provider Name | Benedict R Haeg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023053659 PECOS PAC ID: 7810040243 Enrollment ID: I20090803000711 |
| Provider Name | Ulrika Margaret Wigert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427084557 PECOS PAC ID: 2264585546 Enrollment ID: I20090804000471 |
| Provider Name | Bharath Manu Akkara Veetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023174323 PECOS PAC ID: 1153474374 Enrollment ID: I20090805000086 |
| Provider Name | Hieu J Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194710061 PECOS PAC ID: 8022162981 Enrollment ID: I20090812000596 |
| Provider Name | Ravikanth Nathani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366641052 PECOS PAC ID: 3274687983 Enrollment ID: I20090814000332 |
| Provider Name | John Michael Mahowald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952303570 PECOS PAC ID: 0042364788 Enrollment ID: I20090814000589 |
| Provider Name | Mary M Stuvland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033348222 PECOS PAC ID: 4688729411 Enrollment ID: I20090831000664 |
| Provider Name | Nathan R Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346416880 PECOS PAC ID: 1658426317 Enrollment ID: I20090901000418 |
| Provider Name | Alexander J Schad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093900011 PECOS PAC ID: 4587719141 Enrollment ID: I20090902000704 |
| Provider Name | Kevin R Switzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285660548 PECOS PAC ID: 1456337997 Enrollment ID: I20090909000447 |
| Provider Name | Libby M Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649447715 PECOS PAC ID: 4183779481 Enrollment ID: I20090910000513 |
| Provider Name | Julie C Gauderman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578790416 PECOS PAC ID: 4082760244 Enrollment ID: I20090914000508 |
| Provider Name | Jessica R Baitani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285800466 PECOS PAC ID: 6507912334 Enrollment ID: I20090921000434 |
| Provider Name | Nathaniel Reuter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457479446 PECOS PAC ID: 8921199373 Enrollment ID: I20090924000337 |
| Provider Name | Valery a Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649415811 PECOS PAC ID: 5395881130 Enrollment ID: I20091007000694 |
| Provider Name | Carmen M Buiceag Arama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659490001 PECOS PAC ID: 2567508294 Enrollment ID: I20091009000054 |
| Provider Name | Jeffrey T Pearson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487798302 PECOS PAC ID: 1052458585 Enrollment ID: I20091102000288 |
| Provider Name | Richard L Aplin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841284791 PECOS PAC ID: 6901944271 Enrollment ID: I20091105000598 |
| Provider Name | Rachel Wenner Ruzanic |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073708608 PECOS PAC ID: 3274671045 Enrollment ID: I20091116000405 |
| Provider Name | Christina M Drontle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205160116 PECOS PAC ID: 5496894206 Enrollment ID: I20091207000613 |
| Provider Name | Kristi M Sabrowsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104059302 PECOS PAC ID: 1557400330 Enrollment ID: I20091208000542 |
| Provider Name | Mark E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568454502 PECOS PAC ID: 2466592191 Enrollment ID: I20091210000497 |
| Provider Name | Nicole a Halverson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528391174 PECOS PAC ID: 8921148479 Enrollment ID: I20091215000240 |
| Provider Name | Lydia M Wade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992926893 PECOS PAC ID: 0941340319 Enrollment ID: I20091215000531 |
| Provider Name | Lindsey K Syverson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730416959 PECOS PAC ID: 3971644535 Enrollment ID: I20100106000622 |
| Provider Name | Denise L Lenarz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336130582 PECOS PAC ID: 2365583515 Enrollment ID: I20100109000200 |
| Provider Name | Thomas John Satre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851369862 PECOS PAC ID: 1759423635 Enrollment ID: I20100115000589 |
| Provider Name | Joseph M Blonski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316915325 PECOS PAC ID: 5698798270 Enrollment ID: I20100116000065 |
| Provider Name | Thomas M Math |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215927835 PECOS PAC ID: 1850433681 Enrollment ID: I20100116000229 |
| Provider Name | Holly C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356339303 PECOS PAC ID: 8022150853 Enrollment ID: I20100116000241 |
| Provider Name | Douglas S Brew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568453710 PECOS PAC ID: 6305988460 Enrollment ID: I20100127000768 |
| Provider Name | Rene Eldidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342032 PECOS PAC ID: 4082756150 Enrollment ID: I20100127000929 |
| Provider Name | Tammy L Meyerhofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659362507 PECOS PAC ID: 0547302549 Enrollment ID: I20100128000343 |
| Provider Name | Thomas W Leither |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982694584 PECOS PAC ID: 8820029556 Enrollment ID: I20100128000360 |
| Provider Name | Rebecca L Wertish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568798700 PECOS PAC ID: 4183767817 Enrollment ID: I20100203000739 |
| Provider Name | Katherine E Pillote |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235129644 PECOS PAC ID: 1052324902 Enrollment ID: I20100205000555 |
| Provider Name | Alan G Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619943081 PECOS PAC ID: 2769570126 Enrollment ID: I20100208000268 |
| Provider Name | Kathryn a Mechelke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366432015 PECOS PAC ID: 2769526698 Enrollment ID: I20100216000648 |
| Provider Name | Mark D Holm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831189240 PECOS PAC ID: 1557405818 Enrollment ID: I20100224000603 |
| Provider Name | Christian P Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497745152 PECOS PAC ID: 1052455318 Enrollment ID: I20100224000643 |
| Provider Name | Scot W Hutton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528058930 PECOS PAC ID: 1052223161 Enrollment ID: I20100227000036 |
| Provider Name | David a Kroska |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528059185 PECOS PAC ID: 3870638042 Enrollment ID: I20100227000060 |
| Provider Name | Stacia S Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720079981 PECOS PAC ID: 2860537032 Enrollment ID: I20100227000081 |
| Provider Name | Nicholas F Reuter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871584557 PECOS PAC ID: 7618012774 Enrollment ID: I20100302000081 |
| Provider Name | Eric T Mcfarling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467437251 PECOS PAC ID: 9436061546 Enrollment ID: I20100302000100 |
| Provider Name | David J Tilstra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316928351 PECOS PAC ID: 3971686452 Enrollment ID: I20100302000134 |
| Provider Name | Darin Willardsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20100302000141 |
| Provider Name | Lynn M Mcfarling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215927975 PECOS PAC ID: 3173668241 Enrollment ID: I20100302000172 |
| Provider Name | Paul a Spinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141908 PECOS PAC ID: 8123163045 Enrollment ID: I20100303000697 |
| Provider Name | Sharon J Ruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629068390 PECOS PAC ID: 3274678198 Enrollment ID: I20100303000737 |
| Provider Name | Brian E Bunkers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558322768 PECOS PAC ID: 8022919992 Enrollment ID: I20100305000372 |
| Provider Name | Thomas G Schrup |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811988769 PECOS PAC ID: 8628970720 Enrollment ID: I20100315000177 |
| Provider Name | Jeffrey Ja Enstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104885888 PECOS PAC ID: 8325173461 Enrollment ID: I20100315000926 |
| Provider Name | Jenifer K Detert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689723629 PECOS PAC ID: 5799811949 Enrollment ID: I20100327000106 |
| Provider Name | Daniel R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588150 PECOS PAC ID: 1951438167 Enrollment ID: I20100420000788 |
| Provider Name | Hani S Alkhatib |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750372900 PECOS PAC ID: 1153458146 Enrollment ID: I20100422001051 |
| Provider Name | Stephen J Jameson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598825 PECOS PAC ID: 9032246723 Enrollment ID: I20100429000297 |
| Provider Name | John M Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639113392 PECOS PAC ID: 2860520350 Enrollment ID: I20100504000165 |
| Provider Name | Gregory S Parries |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891739538 PECOS PAC ID: 8628964756 Enrollment ID: I20100504000877 |
| Provider Name | John a Sebas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275500233 PECOS PAC ID: 4880722800 Enrollment ID: I20100512001067 |
| Provider Name | Dale J Minnerath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891778155 PECOS PAC ID: 6406768514 Enrollment ID: I20100520000786 |
| Provider Name | Kevin J Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790712388 PECOS PAC ID: 0042295826 Enrollment ID: I20100603000663 |
| Provider Name | Kimberly L Tjaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659316891 PECOS PAC ID: 5890770671 Enrollment ID: I20100603000914 |
| Provider Name | Mary Joy L Sia Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374136 PECOS PAC ID: 1759411572 Enrollment ID: I20100604000718 |
| Provider Name | Kimberly W Spaulding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538197892 PECOS PAC ID: 8729063508 Enrollment ID: I20100616000535 |
| Provider Name | Carl M Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164452785 PECOS PAC ID: 3476683566 Enrollment ID: I20100616000729 |
| Provider Name | Timothy F Ebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286851 PECOS PAC ID: 3678558459 Enrollment ID: I20100616000805 |
| Provider Name | Steven M Danielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033145958 PECOS PAC ID: 9436289543 Enrollment ID: I20100616000907 |
| Provider Name | Elaina R Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336181460 PECOS PAC ID: 9830174614 Enrollment ID: I20100616000958 |
| Provider Name | Lori Ann Pinke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427022425 PECOS PAC ID: 6709872526 Enrollment ID: I20100623000863 |
| Provider Name | Mark a Eggen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861439028 PECOS PAC ID: 3870625585 Enrollment ID: I20100715000792 |
| Provider Name | Ethan B Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851615108 PECOS PAC ID: 0446382162 Enrollment ID: I20100715000875 |
| Provider Name | Kristina M Wakeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356652861 PECOS PAC ID: 0244363745 Enrollment ID: I20100804000965 |
| Provider Name | Bethany T Dingmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659694628 PECOS PAC ID: 7911030366 Enrollment ID: I20100805000207 |
| Provider Name | Erik J Mikkelsen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467658989 PECOS PAC ID: 8921196304 Enrollment ID: I20100805000620 |
| Provider Name | Ian D Augustin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740412576 PECOS PAC ID: 2264566389 Enrollment ID: I20100811000659 |
| Provider Name | Alan D Reitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336130517 PECOS PAC ID: 8123918877 Enrollment ID: I20100824001216 |
| Provider Name | Frank P Nellans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992796460 PECOS PAC ID: 2163312810 Enrollment ID: I20100824001252 |
| Provider Name | Wayne R Jandik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174514731 PECOS PAC ID: 1254221971 Enrollment ID: I20100824001262 |
| Provider Name | Theodore a Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457342628 PECOS PAC ID: 2860382512 Enrollment ID: I20100824001296 |
| Provider Name | Chad M Kissela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912998584 PECOS PAC ID: 6204726946 Enrollment ID: I20100824001305 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Leslee J Jaeger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346286838 PECOS PAC ID: 4082738208 Enrollment ID: I20100825000300 |
| Provider Name | Kari M Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588805170 PECOS PAC ID: 7517081680 Enrollment ID: I20100825001023 |
| Provider Name | Michelle L Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881685279 PECOS PAC ID: 2264557115 Enrollment ID: I20100915000482 |
| Provider Name | William S Lindell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073504585 PECOS PAC ID: 2860517307 Enrollment ID: I20100921000499 |
| Provider Name | Todd Belling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114918695 PECOS PAC ID: 5193840643 Enrollment ID: I20100921000575 |
| Provider Name | Lanse C Lang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972594547 PECOS PAC ID: 2466342100 Enrollment ID: I20100921000838 |
| Provider Name | Anjali Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709420 PECOS PAC ID: 2961528856 Enrollment ID: I20100928001714 |
| Provider Name | Jeffre J Benson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487655288 PECOS PAC ID: 9830134881 Enrollment ID: I20100929001458 |
| Provider Name | Peter W Waldusky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194714097 PECOS PAC ID: 7012109895 Enrollment ID: I20101012000727 |
| Provider Name | Bobbie Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275844011 PECOS PAC ID: 3678766177 Enrollment ID: I20101015001094 |
| Provider Name | Jennifer L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366761629 PECOS PAC ID: 3072706431 Enrollment ID: I20101019000436 |
| Provider Name | Patrick M Kern |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689879728 PECOS PAC ID: 6608069828 Enrollment ID: I20101020001203 |
| Provider Name | Holly M Morales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639491798 PECOS PAC ID: 0244423101 Enrollment ID: I20101023000052 |
| Provider Name | Jeremy M Skramsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837318 PECOS PAC ID: 7113110826 Enrollment ID: I20101026000337 |
| Provider Name | Shayne Luther Hogenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649261207 PECOS PAC ID: 0345130068 Enrollment ID: I20101104001340 |
| Provider Name | Hilary a Schindele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639490535 PECOS PAC ID: 3375738081 Enrollment ID: I20101108000912 |
| Provider Name | Marie a Guanzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780664631 PECOS PAC ID: 0446163117 Enrollment ID: I20101110000133 |
| Provider Name | Arihant Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336333848 PECOS PAC ID: 8426247206 Enrollment ID: I20110110000384 |
| Provider Name | James John T Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801876743 PECOS PAC ID: 8921051020 Enrollment ID: I20110126000149 |
| Provider Name | Christopher S Harbaugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427089820 PECOS PAC ID: 3870772270 Enrollment ID: I20110131000627 |
| Provider Name | Thomas L Satterberg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144248956 PECOS PAC ID: 1759317506 Enrollment ID: I20110131000764 |
| Provider Name | Alixandra S Crepeau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730368713 PECOS PAC ID: 1850467143 Enrollment ID: I20110201000954 |
| Provider Name | Erin M Pederson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669781381 PECOS PAC ID: 2668653189 Enrollment ID: I20110216000892 |
| Provider Name | Julie Vernelle Bechtel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669638581 PECOS PAC ID: 5294762829 Enrollment ID: I20110217000244 |
| Provider Name | Janelle L Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902897853 PECOS PAC ID: 6204017486 Enrollment ID: I20110221001032 |
| Provider Name | Somendra Vaishnav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609043843 PECOS PAC ID: 1658552278 Enrollment ID: I20110301001136 |
| Provider Name | Kaylle Rose Schmit Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144533290 PECOS PAC ID: 0143402735 Enrollment ID: I20110302000839 |
| Provider Name | Scott M Abrams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265498430 PECOS PAC ID: 5496937807 Enrollment ID: I20110307000552 |
| Provider Name | Hilary I Ufearo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366626343 PECOS PAC ID: 7416130307 Enrollment ID: I20110330000960 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407040892 PECOS PAC ID: 0648453407 Enrollment ID: I20110331000827 |
| Provider Name | Chelsey L Olander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093025009 PECOS PAC ID: 2365626819 Enrollment ID: I20110408000009 |
| Provider Name | Geri Newman Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558320044 PECOS PAC ID: 7012049802 Enrollment ID: I20110503000388 |
| Provider Name | Rebecca a Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336442144 PECOS PAC ID: 2264617349 Enrollment ID: I20110505000365 |
| Provider Name | Lori a Edlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821388372 PECOS PAC ID: 7719163575 Enrollment ID: I20110512000775 |
| Provider Name | Nathaniel John Uy Castro |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184854218 PECOS PAC ID: 6204014210 Enrollment ID: I20110622000186 |
| Provider Name | Xiaofang Sheng Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592804 PECOS PAC ID: 3274606462 Enrollment ID: I20110627000130 |
| Provider Name | Hoai Duc Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407030737 PECOS PAC ID: 1658559208 Enrollment ID: I20110629000694 |
| Provider Name | Peter E Friedell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356360531 PECOS PAC ID: 4284527359 Enrollment ID: I20110715000218 |
| Provider Name | Jessie L Roske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124258686 PECOS PAC ID: 5092983981 Enrollment ID: I20110720000304 |
| Provider Name | Nathan D Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962677518 PECOS PAC ID: 3870761570 Enrollment ID: I20110725000410 |
| Provider Name | Melissa M Ensign |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134377989 PECOS PAC ID: 1850569559 Enrollment ID: I20110725000431 |
| Provider Name | Judith L Mcelhiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877203 PECOS PAC ID: 6103956651 Enrollment ID: I20110801000482 |
| Provider Name | Barham Abudayyeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902927353 PECOS PAC ID: 9133266539 Enrollment ID: I20110810000289 |
| Provider Name | Nabeel B Ailabouni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043479876 PECOS PAC ID: 6305032467 Enrollment ID: I20110919000714 |
| Provider Name | Nicole Ann Ouke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891077475 PECOS PAC ID: 6507037264 Enrollment ID: I20110929000363 |
| Provider Name | Henry P Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003863366 PECOS PAC ID: 4486541083 Enrollment ID: I20111006000780 |
| Provider Name | Lesley Rae Kurowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510700 PECOS PAC ID: 2062684889 Enrollment ID: I20111020000091 |
| Provider Name | Jill L Amsberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649432204 PECOS PAC ID: 8729252267 Enrollment ID: I20111121000105 |
| Provider Name | Rebecca K Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457556144 PECOS PAC ID: 8224202395 Enrollment ID: I20111130000017 |
| Provider Name | Bartley B Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421642 PECOS PAC ID: 2163590852 Enrollment ID: I20111220000138 |
| Provider Name | Cassandra M Lehn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326232158 PECOS PAC ID: 1658448956 Enrollment ID: I20120119000014 |
| Provider Name | Kayla Mae Carlson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073880464 PECOS PAC ID: 4183881766 Enrollment ID: I20120209000400 |
| Provider Name | Stephanie J Mcgreevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568743524 PECOS PAC ID: 9537326012 Enrollment ID: I20120210000790 |
| Provider Name | Richard Cash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206640 PECOS PAC ID: 3577548395 Enrollment ID: I20120606000725 |
| Provider Name | John a Schoenhard |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699865840 PECOS PAC ID: 2466608823 Enrollment ID: I20120820000143 |
| Provider Name | Derek R Weiland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336320225 PECOS PAC ID: 2264689454 Enrollment ID: I20120822000709 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Georgina M Greil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699949776 PECOS PAC ID: 4587811666 Enrollment ID: I20120824000102 |
| Provider Name | Viktoriya V Vladykina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780993345 PECOS PAC ID: 7315194941 Enrollment ID: I20120904000277 |
| Provider Name | Peter Dehnel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184604407 PECOS PAC ID: 0042391302 Enrollment ID: I20120907000434 |
| Provider Name | Donald J Arickx |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669735486 PECOS PAC ID: 4082862495 Enrollment ID: I20120910000393 |
| Provider Name | Lindsey R Chmielewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326333824 PECOS PAC ID: 0143478867 Enrollment ID: I20120920000688 |
| Provider Name | Lucio R Minces |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811173271 PECOS PAC ID: 3072791003 Enrollment ID: I20121002000539 |
| Provider Name | Oluyemi a Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972701217 PECOS PAC ID: 9931296761 Enrollment ID: I20121004000874 |
| Provider Name | Christopher L Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376785212 PECOS PAC ID: 7517117062 Enrollment ID: I20121018000736 |
| Provider Name | Amanda B Welle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184970444 PECOS PAC ID: 0345490678 Enrollment ID: I20121023000637 |
| Provider Name | Thomas G Lewison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790034742 PECOS PAC ID: 3779733928 Enrollment ID: I20121024000110 |
| Provider Name | Tiffany M Rickbeil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538303938 PECOS PAC ID: 7719137736 Enrollment ID: I20121026000472 |
| Provider Name | Julian R Luetmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902151228 PECOS PAC ID: 8729238787 Enrollment ID: I20121029000192 |
| Provider Name | David a Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982831210 PECOS PAC ID: 2860642782 Enrollment ID: I20121030000172 |
| Provider Name | Ann M Gustafson-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952420333 PECOS PAC ID: 3173774312 Enrollment ID: I20121115000302 |
| Provider Name | Megan M Ahrndt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972866440 PECOS PAC ID: 0345491478 Enrollment ID: I20121119000088 |
| Provider Name | Amy F Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619231834 PECOS PAC ID: 1153572219 Enrollment ID: I20121119000460 |
| Provider Name | Brandi L Oconnor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861748386 PECOS PAC ID: 9537310545 Enrollment ID: I20121120000481 |
| Provider Name | Ashley M Kast |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669729190 PECOS PAC ID: 3375795164 Enrollment ID: I20121129000633 |
| Provider Name | Alberto Orioles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053581876 PECOS PAC ID: 5193977700 Enrollment ID: I20121205000579 |
| Provider Name | Catherine J Standfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477808210 PECOS PAC ID: 2264684653 Enrollment ID: I20121211000348 |
| Provider Name | Ryan M Engdahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407148588 PECOS PAC ID: 5193978104 Enrollment ID: I20121226000099 |
| Provider Name | Linda Eleanor Graeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477833804 PECOS PAC ID: 7810140423 Enrollment ID: I20130110000221 |
| Provider Name | Ingrid a Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336491745 PECOS PAC ID: 9931352432 Enrollment ID: I20130112000020 |
| Provider Name | Tracy a Roehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043563463 PECOS PAC ID: 2264686823 Enrollment ID: I20130206000465 |
| Provider Name | Amy Marie Thesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942558747 PECOS PAC ID: 2062666480 Enrollment ID: I20130211000468 |
| Provider Name | Susan M Luetmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942589080 PECOS PAC ID: 2264604156 Enrollment ID: I20130223000105 |
| Provider Name | Tamara D Zarogoza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831441245 PECOS PAC ID: 2163677022 Enrollment ID: I20130225000432 |
| Provider Name | Jennifer N Pickett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508112178 PECOS PAC ID: 8820233943 Enrollment ID: I20130320000547 |
| Provider Name | Claire H Dutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386987378 PECOS PAC ID: 3779720255 Enrollment ID: I20130501000387 |
| Provider Name | Dimitrios Nicholas Minadakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063852085 PECOS PAC ID: 4183865066 Enrollment ID: I20130719000401 |
| Provider Name | Jayme Vanbeek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518246826 PECOS PAC ID: 2062653751 Enrollment ID: I20130723000214 |
| Provider Name | Elizabeth K Blixt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487900577 PECOS PAC ID: 2860633401 Enrollment ID: I20130724000911 |
| Provider Name | Leah R Roering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194951095 PECOS PAC ID: 5991947822 Enrollment ID: I20130806000434 |
| Provider Name | Andrea M Lundeen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730344664 PECOS PAC ID: 8426290826 Enrollment ID: I20130814000976 |
| Provider Name | Timothy G Vedder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407818388 PECOS PAC ID: 8921255084 Enrollment ID: I20130823000754 |
| Provider Name | Molly C Britz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457784639 PECOS PAC ID: 8820232366 Enrollment ID: I20130923000613 |
| Provider Name | Tamara M Amendt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831537380 PECOS PAC ID: 8325932346 Enrollment ID: I20130924000194 |
| Provider Name | Michelle Joan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447682885 PECOS PAC ID: 1052545647 Enrollment ID: I20131015000868 |
| Provider Name | Courtney L Minadakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245679695 PECOS PAC ID: 9931334133 Enrollment ID: I20131024000238 |
| Provider Name | Erica L Klimmek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588096101 PECOS PAC ID: 3375778004 Enrollment ID: I20131105000122 |
| Provider Name | David M Truscinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083059075 PECOS PAC ID: 1557596236 Enrollment ID: I20131105001514 |
| Provider Name | Andrew O Connor Maloney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518260876 PECOS PAC ID: 8527293182 Enrollment ID: I20131107000177 |
| Provider Name | Kenneth J Shea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881855187 PECOS PAC ID: 5799910212 Enrollment ID: I20131108000429 |
| Provider Name | Keith E Furzland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497198733 PECOS PAC ID: 4183859630 Enrollment ID: I20131108001338 |
| Provider Name | Emily Louise Bakker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699102152 PECOS PAC ID: 6204062656 Enrollment ID: I20131113001971 |
| Provider Name | Kristina a Kase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609218833 PECOS PAC ID: 7810123544 Enrollment ID: I20131202000307 |
| Provider Name | Jenna Marie Vanloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509425 PECOS PAC ID: 9537396809 Enrollment ID: I20131211001287 |
| Provider Name | Jennifer a Porter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649513979 PECOS PAC ID: 7214165828 Enrollment ID: I20140106000043 |
| Provider Name | Kelly J Erhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174957401 PECOS PAC ID: 4284862814 Enrollment ID: I20140106000569 |
| Provider Name | Scott T Bertram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801226923 PECOS PAC ID: 1658509195 Enrollment ID: I20140108001505 |
| Provider Name | Tania M Hassler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225012057 PECOS PAC ID: 4385638725 Enrollment ID: I20140122000917 |
| Provider Name | Ashley H Konstantinides |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649600438 PECOS PAC ID: 7719117324 Enrollment ID: I20140227000735 |
| Provider Name | Walid M Maalouli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912079609 PECOS PAC ID: 7416188941 Enrollment ID: I20140327000148 |
| Provider Name | Nicole E Fogt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770909749 PECOS PAC ID: 3870725013 Enrollment ID: I20140422001576 |
| Provider Name | Jessica Fay Wilmes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891123048 PECOS PAC ID: 6608009246 Enrollment ID: I20140506000101 |
| Provider Name | Erik Christopher Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730348319 PECOS PAC ID: 3577701739 Enrollment ID: I20140507001999 |
| Provider Name | Erin F Osmundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720045735 PECOS PAC ID: 3072746312 Enrollment ID: I20140512001566 |
| Provider Name | Andrew Peter Windsperger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124280425 PECOS PAC ID: 8426297623 Enrollment ID: I20140516001300 |
| Provider Name | Yaga Saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053731752 PECOS PAC ID: 3476776576 Enrollment ID: I20140517000188 |
| Provider Name | Jennifer M Taves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629344023 PECOS PAC ID: 4284857269 Enrollment ID: I20140520000833 |
| Provider Name | Federica Fromm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194055830 PECOS PAC ID: 9931358264 Enrollment ID: I20140528001540 |
| Provider Name | Sarah Jane Ibeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962812503 PECOS PAC ID: 9436372067 Enrollment ID: I20140528001683 |
| Provider Name | Kaitlyn L Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568897205 PECOS PAC ID: 7315172665 Enrollment ID: I20140602001201 |
| Provider Name | Paul a Wratkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083909733 PECOS PAC ID: 8820212137 Enrollment ID: I20140606000425 |
| Provider Name | Larry V Hook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780909168 PECOS PAC ID: 6800059833 Enrollment ID: I20140623000545 |
| Provider Name | Suzanne S Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300742 PECOS PAC ID: 7315161916 Enrollment ID: I20140623001668 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Amanda L Myran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336569243 PECOS PAC ID: 8224253281 Enrollment ID: I20140707001274 |
| Provider Name | Nichole Leigh Cummings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558641951 PECOS PAC ID: 9931325339 Enrollment ID: I20140721001469 |
| Provider Name | Christopher W Wieland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093025801 PECOS PAC ID: 0941442164 Enrollment ID: I20140722000150 |
| Provider Name | Cory Alan Yarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346536885 PECOS PAC ID: 7911123369 Enrollment ID: I20140722000418 |
| Provider Name | Courtney L Brever |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093120131 PECOS PAC ID: 7416173687 Enrollment ID: I20140723002622 |
| Provider Name | Abigail L Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356630636 PECOS PAC ID: 1153547294 Enrollment ID: I20140724002357 |
| Provider Name | Emily J Greenlee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639584774 PECOS PAC ID: 6002033719 Enrollment ID: I20140804000823 |
| Provider Name | Michael J Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220712 PECOS PAC ID: 2668699109 Enrollment ID: I20140807000616 |
| Provider Name | Gary S Tatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386645125 PECOS PAC ID: 4183666126 Enrollment ID: I20140822002138 |
| Provider Name | Jennifer N Gannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447308770 PECOS PAC ID: 8123246634 Enrollment ID: I20140825002746 |
| Provider Name | Jacob William Eiler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255656997 PECOS PAC ID: 8224261979 Enrollment ID: I20140926000795 |
| Provider Name | Charles Snow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689745747 PECOS PAC ID: 4284804840 Enrollment ID: I20141015002408 |
| Provider Name | Kellie Ann Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635820 PECOS PAC ID: 1355663659 Enrollment ID: I20141121001801 |
| Provider Name | Amber D Rossin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518368133 PECOS PAC ID: 7719209865 Enrollment ID: I20141201001671 |
| Provider Name | Maria a Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811003478 PECOS PAC ID: 3274427349 Enrollment ID: I20141220000171 |
| Provider Name | Sarah Polcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982991964 PECOS PAC ID: 0143451641 Enrollment ID: I20141230000527 |
| Provider Name | Julia M Bates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306246277 PECOS PAC ID: 7618291105 Enrollment ID: I20150109000365 |
| Provider Name | Courtney Jean Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255746665 PECOS PAC ID: 3375867237 Enrollment ID: I20150123001512 |
| Provider Name | Jenny L Martino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346396538 PECOS PAC ID: 4587790746 Enrollment ID: I20150205001089 |
| Provider Name | Laurie Jo Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679551329 PECOS PAC ID: 9335303163 Enrollment ID: I20150207000125 |
| Provider Name | Nicholas James Maurer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679961809 PECOS PAC ID: 6507181773 Enrollment ID: I20150210001257 |
| Provider Name | Kristin a Gjerset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911127 PECOS PAC ID: 4880910272 Enrollment ID: I20150302001687 |
| Provider Name | Gregory J Trobec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184022733 PECOS PAC ID: 3678899085 Enrollment ID: I20150302002244 |
| Provider Name | Milissa Sue Mcduffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933366 PECOS PAC ID: 6608193073 Enrollment ID: I20150324000035 |
| Provider Name | Katie L Hegdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649676487 PECOS PAC ID: 1355660002 Enrollment ID: I20150501001057 |
| Provider Name | Timothy M Ehle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659575702 PECOS PAC ID: 2466510573 Enrollment ID: I20150508002165 |
| Provider Name | Danielle B Armbrust |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598024218 PECOS PAC ID: 6204155450 Enrollment ID: I20150509000399 |
| Provider Name | Jamie M Dockendorf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205225224 PECOS PAC ID: 5092035634 Enrollment ID: I20150521000778 |
| Provider Name | Rachel R Raab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798827 PECOS PAC ID: 4981925344 Enrollment ID: I20150610001903 |
| Provider Name | Fateh Bazerbachi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316208473 PECOS PAC ID: 3779804059 Enrollment ID: I20150611002821 |
| Provider Name | Amy Hammers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578852224 PECOS PAC ID: 9830317528 Enrollment ID: I20150618000598 |
| Provider Name | Sharath S Subramanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619047529 PECOS PAC ID: 6103956537 Enrollment ID: I20150623000954 |
| Provider Name | Daren S Danielson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720252455 PECOS PAC ID: 6204729585 Enrollment ID: I20150630001721 |
| Provider Name | Ramesh Kumar Tentu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376898098 PECOS PAC ID: 6002056942 Enrollment ID: I20150709001632 |
| Provider Name | Lindy Watanaskul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407147465 PECOS PAC ID: 0244543601 Enrollment ID: I20150715000133 |
| Provider Name | Kelsey J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568845238 PECOS PAC ID: 6709190051 Enrollment ID: I20150731014432 |
| Provider Name | Gerald a Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881802999 PECOS PAC ID: 7618024159 Enrollment ID: I20150819006901 |
| Provider Name | Sarah Abdul Jabbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932489002 PECOS PAC ID: 1052627809 Enrollment ID: I20150825004189 |
| Provider Name | Ryan Dale Symanietz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225412406 PECOS PAC ID: 2668788001 Enrollment ID: I20150901000386 |
| Provider Name | John D Mayerhofer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144586918 PECOS PAC ID: 0547577256 Enrollment ID: I20150914000363 |
| Provider Name | Moeed Asghar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215171285 PECOS PAC ID: 9537476197 Enrollment ID: I20150914002559 |
| Provider Name | Boe T Brink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497139612 PECOS PAC ID: 4284941279 Enrollment ID: I20150924000418 |
| Provider Name | Allison T Doerfler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255708368 PECOS PAC ID: 3274841192 Enrollment ID: I20150925002248 |
| Provider Name | Lauren M Line |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780051458 PECOS PAC ID: 3476861139 Enrollment ID: I20150929001996 |
| Provider Name | Michael D Neumann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861877201 PECOS PAC ID: 3971811449 Enrollment ID: I20151002000102 |
| Provider Name | Alicia M Glimsdal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225449192 PECOS PAC ID: 8426366675 Enrollment ID: I20151007002875 |
| Provider Name | Rebecca K Stepan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336409507 PECOS PAC ID: 7810206984 Enrollment ID: I20151013000818 |
| Provider Name | Larae a Lymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327651 PECOS PAC ID: 2567771462 Enrollment ID: I20151015001080 |
| Provider Name | Kristy E Peterfeso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140881 PECOS PAC ID: 9032428677 Enrollment ID: I20151021001178 |
| Provider Name | Elizabeth Anne Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386871622 PECOS PAC ID: 5799918744 Enrollment ID: I20151021001991 |
| Provider Name | Kimberly a Huschle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003283102 PECOS PAC ID: 4486963071 Enrollment ID: I20151021003119 |
| Provider Name | Brad John Rohr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407196975 PECOS PAC ID: 3779721386 Enrollment ID: I20151022002328 |
| Provider Name | Rebecca J Konen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386949337 PECOS PAC ID: 3870776289 Enrollment ID: I20151026000413 |
| Provider Name | Ashley a Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623337 PECOS PAC ID: 8628387065 Enrollment ID: I20151026000595 |
| Provider Name | Sarah Catherine Babst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154799781 PECOS PAC ID: 4688984891 Enrollment ID: I20151029003022 |
| Provider Name | Amy J Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578978623 PECOS PAC ID: 9335459486 Enrollment ID: I20151103000017 |
| Provider Name | Michael P Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063889871 PECOS PAC ID: 2860702719 Enrollment ID: I20151105001926 |
| Provider Name | Jennifer Gene Kingery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982074332 PECOS PAC ID: 9032429733 Enrollment ID: I20151109002526 |
| Provider Name | Marcie T Rome |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326413071 PECOS PAC ID: 7911209051 Enrollment ID: I20160107000419 |
| Provider Name | Stephanie L Baas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649635418 PECOS PAC ID: 1951604388 Enrollment ID: I20160119002154 |
| Provider Name | Amy a Olmschenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912327297 PECOS PAC ID: 7416250600 Enrollment ID: I20160121001892 |
| Provider Name | Penny a Leen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958856 PECOS PAC ID: 0345470738 Enrollment ID: I20160128001570 |
| Provider Name | Michael C Tan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386935500 PECOS PAC ID: 3274793559 Enrollment ID: I20160202000871 |
| Provider Name | Rebecca a Hukriede |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063870046 PECOS PAC ID: 7517262256 Enrollment ID: I20160218000494 |
| Provider Name | Nicole M Zenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881056679 PECOS PAC ID: 0345548012 Enrollment ID: I20160413000316 |
| Provider Name | Erica S Crook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548628985 PECOS PAC ID: 1850690504 Enrollment ID: I20160502000048 |
| Provider Name | David Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841582400 PECOS PAC ID: 5799098190 Enrollment ID: I20160518002733 |
| Provider Name | Mark R Martens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194921973 PECOS PAC ID: 7315236833 Enrollment ID: I20160523000750 |
| Provider Name | Benjamin Keith Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255627790 PECOS PAC ID: 6305145129 Enrollment ID: I20160601001033 |
| Provider Name | Logan a Newman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285070243 PECOS PAC ID: 3375849698 Enrollment ID: I20160621002100 |
| Provider Name | Winifred Sidibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114358520 PECOS PAC ID: 2466681085 Enrollment ID: I20160627001551 |
| Provider Name | Carly E Schmitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568811529 PECOS PAC ID: 3870885726 Enrollment ID: I20160713001187 |
| Provider Name | Kristine L Duhamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827523 PECOS PAC ID: 3476845280 Enrollment ID: I20160714000414 |
| Provider Name | Christopher B Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114201514 PECOS PAC ID: 7911145982 Enrollment ID: I20160715002167 |
| Provider Name | Brian M Stegman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447425160 PECOS PAC ID: 9830314608 Enrollment ID: I20160721000888 |
| Provider Name | Joseph J Miskulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548557531 PECOS PAC ID: 5092024174 Enrollment ID: I20160728000301 |
| Provider Name | Steven J Solum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074126 PECOS PAC ID: 4486947439 Enrollment ID: I20160728000329 |
| Provider Name | Kevin Jenner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508151853 PECOS PAC ID: 2062705858 Enrollment ID: I20160802000310 |
| Provider Name | Katherine F Reigstad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386872539 PECOS PAC ID: 8527290261 Enrollment ID: I20160803002188 |
| Provider Name | Sara J Dezell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801244199 PECOS PAC ID: 2668767443 Enrollment ID: I20160817002827 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| Provider Name | Tiffany Nicole Sande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255796918 PECOS PAC ID: 4789979733 Enrollment ID: I20160830000875 |
| Provider Name | Mithun R Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483702 PECOS PAC ID: 7315242856 Enrollment ID: I20160830002979 |
| Provider Name | Jonathon R Heger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497209688 PECOS PAC ID: 7416243431 Enrollment ID: I20160831000173 |
| Provider Name | Meghan Marie Scheibe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346549508 PECOS PAC ID: 9537455936 Enrollment ID: I20160912001348 |
| Provider Name | Patrick Wayne Odens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023846 PECOS PAC ID: 6608162706 Enrollment ID: I20160915000322 |
| Provider Name | Sean P Wherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407948458 PECOS PAC ID: 3779617394 Enrollment ID: I20160926001757 |
| Provider Name | Katrina N Wherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124297965 PECOS PAC ID: 2860524238 Enrollment ID: I20160927000899 |
| Provider Name | Jessica M Retterath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033663414 PECOS PAC ID: 8224326186 Enrollment ID: I20161007001193 |
| Provider Name | Joseph Dominic Chabot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033421623 PECOS PAC ID: 7618196221 Enrollment ID: I20161013001845 |
| Provider Name | Christine D Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643915 PECOS PAC ID: 8123306420 Enrollment ID: I20161020000801 |
| Provider Name | Rebecca R Boesl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043661044 PECOS PAC ID: 3971881285 Enrollment ID: I20161020001084 |
| Provider Name | Mary F Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194279596 PECOS PAC ID: 2062790215 Enrollment ID: I20161024001322 |
| Provider Name | Jacob Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336582048 PECOS PAC ID: 2264710318 Enrollment ID: I20161025002181 |
| Provider Name | Kelsey M Mcanally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548608235 PECOS PAC ID: 0244552305 Enrollment ID: I20161103001574 |
| Provider Name | Rebecca a Kastanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767072 PECOS PAC ID: 9931488103 Enrollment ID: I20161110000683 |
| Provider Name | Craig B Tangen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003264441 PECOS PAC ID: 7416236690 Enrollment ID: I20161110000984 |
| Provider Name | Mindy M Ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952608341 PECOS PAC ID: 2769761345 Enrollment ID: I20161123000394 |
| Provider Name | Stephanie a Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035881 PECOS PAC ID: 5799065223 Enrollment ID: I20161129001827 |
| Provider Name | Leslie J Mortland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093859654 PECOS PAC ID: 7810166147 Enrollment ID: I20161201000123 |
| Provider Name | Briana L Eriksson Kotschevar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429321 PECOS PAC ID: 3577843895 Enrollment ID: I20161202001141 |
| Provider Name | Angie L Paschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410612 PECOS PAC ID: 2466732789 Enrollment ID: I20161202001222 |
| Provider Name | Jessica E Hollenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761190 PECOS PAC ID: 3870873037 Enrollment ID: I20161205000635 |
| Provider Name | Daniel Falvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003194085 PECOS PAC ID: 3678798758 Enrollment ID: I20161207000024 |
| Provider Name | Erin E Carlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914248 PECOS PAC ID: 6305127879 Enrollment ID: I20161222000242 |
| Provider Name | John P Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336681741 PECOS PAC ID: 0547541963 Enrollment ID: I20161227000081 |
| Provider Name | Noah T Helgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427439454 PECOS PAC ID: 1153603717 Enrollment ID: I20170117001159 |
| Provider Name | Nicole L Frie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881138709 PECOS PAC ID: 8729360144 Enrollment ID: I20170119002623 |
| Provider Name | Thomas V Tate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740633106 PECOS PAC ID: 4688956022 Enrollment ID: I20170120000340 |
| Provider Name | Kadir O Mullings |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639611288 PECOS PAC ID: 8325320468 Enrollment ID: I20170124003138 |
| Provider Name | David Heverly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649205170 PECOS PAC ID: 5496792152 Enrollment ID: I20170213001266 |
| Provider Name | Eyas Abla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407430 PECOS PAC ID: 5294037131 Enrollment ID: I20170316001243 |
| Provider Name | Mari a Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562970 PECOS PAC ID: 3971888637 Enrollment ID: I20170320000853 |
| Provider Name | Christina R Ringsmuth Mohs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952849069 PECOS PAC ID: 7416232103 Enrollment ID: I20170320002282 |
| Provider Name | Shauna H Mullings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487191664 PECOS PAC ID: 8022393511 Enrollment ID: I20170324000180 |
| Provider Name | Roxanne M Boser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134558109 PECOS PAC ID: 8820373178 Enrollment ID: I20170328002545 |
| Provider Name | Bridget M Schoborg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518403633 PECOS PAC ID: 4587940564 Enrollment ID: I20170405000785 |
| Provider Name | Courtney M Wittrock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336688175 PECOS PAC ID: 0446536965 Enrollment ID: I20170418002582 |
| Provider Name | Toni a Mahowald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619231388 PECOS PAC ID: 0042597957 Enrollment ID: I20170502002187 |
| Provider Name | Aimee L Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285167098 PECOS PAC ID: 4688951510 Enrollment ID: I20170502002809 |
| Provider Name | Mark D Raykowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265976518 PECOS PAC ID: 0941587489 Enrollment ID: I20170510000827 |
| Provider Name | Rachel M Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568869667 PECOS PAC ID: 6305113580 Enrollment ID: I20170518000025 |
| Provider Name | Paige P Hennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603285 PECOS PAC ID: 1850668245 Enrollment ID: I20170607000634 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Michael R Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063948404 PECOS PAC ID: 9133497274 Enrollment ID: I20170614001844 |
| Provider Name | Megan G Hodges |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831535863 PECOS PAC ID: 7416226550 Enrollment ID: I20170706000767 |
| Provider Name | Nathan W Fogarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073874079 PECOS PAC ID: 4183994635 Enrollment ID: I20170717002535 |
| Provider Name | Janelle M Terhaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758228 PECOS PAC ID: 4284905787 Enrollment ID: I20170802000009 |
| Provider Name | Jenine M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404928 PECOS PAC ID: 4880965383 Enrollment ID: I20170802000149 |
| Provider Name | Paul R Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720442205 PECOS PAC ID: 9931491990 Enrollment ID: I20170804000043 |
| Provider Name | Christopher R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447679188 PECOS PAC ID: 1951528652 Enrollment ID: I20170808002393 |
| Provider Name | Jessica J Newman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295078913 PECOS PAC ID: 5991000267 Enrollment ID: I20170809000736 |
| Provider Name | Jill a Massmann |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689194078 PECOS PAC ID: 6002187051 Enrollment ID: I20170809001565 |
| Provider Name | Julianne Elizabeth Fauske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932548005 PECOS PAC ID: 9234363458 Enrollment ID: I20170811002828 |
| Provider Name | Katherine E Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225340565 PECOS PAC ID: 6901181098 Enrollment ID: I20170816001254 |
| Provider Name | Douglas W Sticha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154860740 PECOS PAC ID: 5799058830 Enrollment ID: I20170912000663 |
| Provider Name | Danielle M Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033632062 PECOS PAC ID: 3779856729 Enrollment ID: I20170913002460 |
| Provider Name | Evan L Dyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437110 PECOS PAC ID: 8022382654 Enrollment ID: I20170921000115 |
| Provider Name | Samantha Jaimee Ganick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447420427 PECOS PAC ID: 2163695735 Enrollment ID: I20170921002773 |
| Provider Name | Elizabeth M Backhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283196 PECOS PAC ID: 1557635869 Enrollment ID: I20170926002377 |
| Provider Name | Sameer Y Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508124736 PECOS PAC ID: 8426359209 Enrollment ID: I20170929000709 |
| Provider Name | Lee a Misstishin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437672482 PECOS PAC ID: 2567737216 Enrollment ID: I20171005000329 |
| Provider Name | Viral H Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902163868 PECOS PAC ID: 0042515900 Enrollment ID: I20171005000994 |
| Provider Name | Leah a Thronaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083976195 PECOS PAC ID: 9739474388 Enrollment ID: I20171116002580 |
| Provider Name | Phillip Edward Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639697386 PECOS PAC ID: 4082971312 Enrollment ID: I20171122000163 |
| Provider Name | Jaclyn H Possin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396275848 PECOS PAC ID: 0840557062 Enrollment ID: I20171127000825 |
| Provider Name | Christopher M Roisland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639698889 PECOS PAC ID: 1153688122 Enrollment ID: I20171129001281 |
| Provider Name | Maggie L Thronaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821384678 PECOS PAC ID: 0244460582 Enrollment ID: I20171201000971 |
| Provider Name | Uzma Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336554922 PECOS PAC ID: 7315204195 Enrollment ID: I20171204001066 |
| Provider Name | Ryan R Pelant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124543343 PECOS PAC ID: 9537427703 Enrollment ID: I20171215001062 |
| Provider Name | Angela M Froelich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255841318 PECOS PAC ID: 3173881208 Enrollment ID: I20171219003432 |
| Provider Name | Ashley Janovsky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548614688 PECOS PAC ID: 2769740372 Enrollment ID: I20180102002449 |
| Provider Name | Lauren N Krieter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598274425 PECOS PAC ID: 7810256328 Enrollment ID: I20180108003129 |
| Provider Name | Eric J Schoenecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861914905 PECOS PAC ID: 7517226632 Enrollment ID: I20180118001419 |
| Provider Name | Holly K Boxell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821516782 PECOS PAC ID: 9234498296 Enrollment ID: I20180119000897 |
| Provider Name | Joan M Kotila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700399649 PECOS PAC ID: 2466712278 Enrollment ID: I20180215001511 |
| Provider Name | Ashley M Schoening |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780198549 PECOS PAC ID: 4486914207 Enrollment ID: I20180215002055 |
| Provider Name | Stephanie Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720590524 PECOS PAC ID: 1951663350 Enrollment ID: I20180323000377 |
| Provider Name | Bailey a Dykema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717046 PECOS PAC ID: 2769744069 Enrollment ID: I20180327000473 |
| Provider Name | Angela L Deblieck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598287641 PECOS PAC ID: 1153683156 Enrollment ID: I20180402000457 |
| Provider Name | Charles J Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134642655 PECOS PAC ID: 2860754876 Enrollment ID: I20180402001068 |
| Provider Name | Brittany Kaye Schultz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700320066 PECOS PAC ID: 9638453350 Enrollment ID: I20180412002987 |
| Provider Name | Elizabeth a Klocker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922501618 PECOS PAC ID: 7810250990 Enrollment ID: I20180425000217 |
| Provider Name | Yogesh a Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154646883 PECOS PAC ID: 9739305293 Enrollment ID: I20180509002467 |
| Provider Name | Amit Bhargava |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679796999 PECOS PAC ID: 6103925334 Enrollment ID: I20180521002316 |
| Provider Name | Travis J Hargreaves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750897534 PECOS PAC ID: 5294090791 Enrollment ID: I20180605000564 |
| Provider Name | Gati N Dhroove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982915492 PECOS PAC ID: 6406098052 Enrollment ID: I20180615002147 |
| Provider Name | Pavan K Bhamidipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548490840 PECOS PAC ID: 9931358256 Enrollment ID: I20180616000010 |
| Provider Name | Matthew E Emerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861888653 PECOS PAC ID: 4082927355 Enrollment ID: I20180619003502 |
| Provider Name | Daniel B Pickett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174866644 PECOS PAC ID: 9133475478 Enrollment ID: I20180628003150 |
| Provider Name | Hardik Harish Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811193196 PECOS PAC ID: 1254509763 Enrollment ID: I20180702002272 |
| Provider Name | Eric Stephen Wise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518252857 PECOS PAC ID: 6507155207 Enrollment ID: I20180703002320 |
| Provider Name | Jyh-yau Tsaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053799460 PECOS PAC ID: 7416204912 Enrollment ID: I20180714000018 |
| Provider Name | Damon M Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518285816 PECOS PAC ID: 3375771744 Enrollment ID: I20180716000172 |
| Provider Name | Kelly a Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184124265 PECOS PAC ID: 4284981549 Enrollment ID: I20180718002820 |
| Provider Name | David R Perez-lauterbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124414644 PECOS PAC ID: 8224385422 Enrollment ID: I20180719000335 |
| Provider Name | Laura K Kallock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386196244 PECOS PAC ID: 0345597381 Enrollment ID: I20180720002122 |
| Provider Name | Tab D Klimstra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427596030 PECOS PAC ID: 1658628680 Enrollment ID: I20180723002686 |
| Provider Name | Lynn M Schoenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184113235 PECOS PAC ID: 7416204227 Enrollment ID: I20180725002442 |
| Provider Name | Mary P Gohmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932605441 PECOS PAC ID: 2961759642 Enrollment ID: I20180726001330 |
| Provider Name | Kristin E Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063152 PECOS PAC ID: 7810244423 Enrollment ID: I20180726002983 |
| Provider Name | Cole P. Laber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457887820 PECOS PAC ID: 9133499288 Enrollment ID: I20180802001583 |
| Provider Name | Samantha J Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760855605 PECOS PAC ID: 7911255138 Enrollment ID: I20180804000070 |
| Provider Name | Jacob B Dubay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831514686 PECOS PAC ID: 2769758895 Enrollment ID: I20180806002971 |
| Provider Name | Ryan Michael Finn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898684 PECOS PAC ID: 7810269008 Enrollment ID: I20180806003180 |
| Provider Name | Erica J Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710425657 PECOS PAC ID: 4789932872 Enrollment ID: I20180807000024 |
| Provider Name | Anna L Leitch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790270148 PECOS PAC ID: 9931457033 Enrollment ID: I20180807000244 |
| Provider Name | April J Doten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205324175 PECOS PAC ID: 4082962196 Enrollment ID: I20180807000951 |
| Provider Name | Paul K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20180807002336 |
| Provider Name | Jenna R Sobota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265920102 PECOS PAC ID: 0749538775 Enrollment ID: I20180807002341 |
| Provider Name | Kevin W Okeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396283958 PECOS PAC ID: 4385992361 Enrollment ID: I20180808000181 |
| Provider Name | Kristen L Heckendorf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841738408 PECOS PAC ID: 0547518532 Enrollment ID: I20180808000615 |
| Provider Name | Steven J Sperl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366980690 PECOS PAC ID: 0446508360 Enrollment ID: I20180808002125 |
| Provider Name | John a Sipe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821594011 PECOS PAC ID: 4880942606 Enrollment ID: I20180809005006 |
| Provider Name | Nicole J Broman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780844035 PECOS PAC ID: 4385992106 Enrollment ID: I20180809005246 |
| Provider Name | Brittany D Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720432057 PECOS PAC ID: 0345521654 Enrollment ID: I20180810001816 |
| Provider Name | Clarence O Ojo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053650630 PECOS PAC ID: 3072747021 Enrollment ID: I20180810003100 |
| Provider Name | Linda Ziebarth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932647732 PECOS PAC ID: 9335497098 Enrollment ID: I20180813001892 |
| Provider Name | Shaunte P Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093207375 PECOS PAC ID: 9537418991 Enrollment ID: I20180817000295 |
| Provider Name | Holly J Groetsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639522360 PECOS PAC ID: 1850687161 Enrollment ID: I20180822000015 |
| Provider Name | Jacqueline K Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285138719 PECOS PAC ID: 7618226457 Enrollment ID: I20180828000496 |
| Provider Name | Shaun Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548640436 PECOS PAC ID: 9133432610 Enrollment ID: I20180828000595 |
| Provider Name | Michelle G Lage |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720584089 PECOS PAC ID: 4880944198 Enrollment ID: I20180907001354 |
| Provider Name | Oilufunke O Ajayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093195489 PECOS PAC ID: 4587962485 Enrollment ID: I20180910001993 |
| Provider Name | Dana J Wieme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235676081 PECOS PAC ID: 3476804329 Enrollment ID: I20180917001250 |
| Provider Name | Ashley S Eisenschenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033695101 PECOS PAC ID: 5698026441 Enrollment ID: I20180918003564 |
| Provider Name | Michelle K Nagengast |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861980336 PECOS PAC ID: 9032460415 Enrollment ID: I20180925000031 |
| Provider Name | Tori Misty Myslajek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578898995 PECOS PAC ID: 8729104757 Enrollment ID: I20180928000070 |
| Provider Name | Kayla a Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649758145 PECOS PAC ID: 1153673975 Enrollment ID: I20181005001843 |
| Provider Name | Maisee K Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639551229 PECOS PAC ID: 5890091102 Enrollment ID: I20181009000273 |
| Provider Name | Esayas a Okubamichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477933356 PECOS PAC ID: 2062710957 Enrollment ID: I20181009000542 |
| Provider Name | Coryann Debronsky Kleinhaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154802452 PECOS PAC ID: 5799037016 Enrollment ID: I20181015000399 |
| Provider Name | Gabriel a Fierro-fine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700223146 PECOS PAC ID: 2365711660 Enrollment ID: I20181016000723 |
| Provider Name | Sarah C Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790266559 PECOS PAC ID: 3173875234 Enrollment ID: I20181018000061 |
| Provider Name | Kristine a Lawrence |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790225787 PECOS PAC ID: 0840543872 Enrollment ID: I20181022001338 |
| Provider Name | Lisa Marie Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609353655 PECOS PAC ID: 6800149659 Enrollment ID: I20181025001373 |
| Provider Name | Brandon M Philippi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548743446 PECOS PAC ID: 9739432410 Enrollment ID: I20181025002608 |
| Provider Name | Kelsey a Diederich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477092971 PECOS PAC ID: 8729331335 Enrollment ID: I20181030000072 |
| Provider Name | Becky a Randall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427543735 PECOS PAC ID: 9234482779 Enrollment ID: I20181030001532 |
| Provider Name | Onikepo Omotoso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578042826 PECOS PAC ID: 6709139173 Enrollment ID: I20181101000862 |
| Provider Name | Mirian Ezikeoha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790221885 PECOS PAC ID: 1951654128 Enrollment ID: I20181106000252 |
| Provider Name | Susan M Opgrand-cromwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205377991 PECOS PAC ID: 9830443878 Enrollment ID: I20181112000213 |
| Provider Name | Sarah Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785199 PECOS PAC ID: 2668726456 Enrollment ID: I20181114001061 |
| Provider Name | Tori M Grootwassink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760957922 PECOS PAC ID: 3577817246 Enrollment ID: I20181115001354 |
| Provider Name | Rachel L Woodward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528542602 PECOS PAC ID: 7214271972 Enrollment ID: I20181206001414 |
| Provider Name | Stephanie a Born |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962971242 PECOS PAC ID: 7517202377 Enrollment ID: I20181224000082 |
| Provider Name | Bailey M Knoblock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972079523 PECOS PAC ID: 1658616420 Enrollment ID: I20181224000301 |
| Provider Name | Kellee M Rucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528535390 PECOS PAC ID: 6901142496 Enrollment ID: I20190103001795 |
| Provider Name | Ahmed M.A. Dirweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20190107000521 |
| Provider Name | Augustine U Obi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093719528 PECOS PAC ID: 4880606672 Enrollment ID: I20190225002413 |
| Provider Name | Ellyn M Phearman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952870339 PECOS PAC ID: 1557600020 Enrollment ID: I20190227001834 |
| Provider Name | Matthew T Baltus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609342203 PECOS PAC ID: 7517206980 Enrollment ID: I20190228003035 |
| Provider Name | Mir H Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841454634 PECOS PAC ID: 3476692245 Enrollment ID: I20190305001848 |
| Provider Name | Tess M King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952874836 PECOS PAC ID: 1355680513 Enrollment ID: I20190305002944 |
| Provider Name | Amanda M Flint |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164994026 PECOS PAC ID: 2961741145 Enrollment ID: I20190306000596 |
| Provider Name | James R Tarcon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447724406 PECOS PAC ID: 4981943073 Enrollment ID: I20190307002043 |
| Provider Name | Ingrid Y Cresencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972067205 PECOS PAC ID: 1355682279 Enrollment ID: I20190402002744 |
| Provider Name | Alan Hoeper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821553520 PECOS PAC ID: 4587905427 Enrollment ID: I20190403000422 |
| Provider Name | Nathan D Wenker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205392743 PECOS PAC ID: 5193066595 Enrollment ID: I20190412000495 |
| Provider Name | Patricia J Blonigen-heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707049 PECOS PAC ID: 3971845371 Enrollment ID: I20190506001173 |
| Provider Name | Jessica M Brysky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285199307 PECOS PAC ID: 4486997772 Enrollment ID: I20190530002162 |
| Provider Name | Adewale O Odofin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972955375 PECOS PAC ID: 3375876899 Enrollment ID: I20190614000699 |
| Provider Name | Jessica L Najarian Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255713632 PECOS PAC ID: 9537416094 Enrollment ID: I20190619002857 |
| Provider Name | Carrilyn J Bechtold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316500648 PECOS PAC ID: 5092049668 Enrollment ID: I20190702000994 |
| Provider Name | Stephanie J Johanneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891355913 PECOS PAC ID: 6507191053 Enrollment ID: I20190705001197 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902805518 PECOS PAC ID: 2668453564 Enrollment ID: I20190709002811 |
| Provider Name | Karen a Reisdorf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396302741 PECOS PAC ID: 2860727054 Enrollment ID: I20190710002221 |
| Provider Name | Bryce D Mieczkowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235518903 PECOS PAC ID: 5092021618 Enrollment ID: I20190711001504 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Brock Davidson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356836654 PECOS PAC ID: 1951637495 Enrollment ID: I20190722003116 |
| Provider Name | Julie J Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124438783 PECOS PAC ID: 8022314335 Enrollment ID: I20190724000899 |
| Provider Name | Beau R Gerding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215591052 PECOS PAC ID: 5597091496 Enrollment ID: I20190731000122 |
| Provider Name | Nicholas B Zaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366701690 PECOS PAC ID: 0941440028 Enrollment ID: I20190731000693 |
| Provider Name | Nicole J Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013336106 PECOS PAC ID: 0143525303 Enrollment ID: I20190731001185 |
| Provider Name | Yu C Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568850816 PECOS PAC ID: 6002123817 Enrollment ID: I20190731001855 |
| Provider Name | Dennison W Gillen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982068920 PECOS PAC ID: 6608113196 Enrollment ID: I20190812002520 |
| Provider Name | Haley a Kedrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669033429 PECOS PAC ID: 3274860184 Enrollment ID: I20190814002827 |
| Provider Name | Stephanie M Gagelin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679133052 PECOS PAC ID: 0345578993 Enrollment ID: I20190821001827 |
| Provider Name | Fatima Sharifmohamed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285011635 PECOS PAC ID: 0547599193 Enrollment ID: I20190909000733 |
| Provider Name | Carey B Herzog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734773 PECOS PAC ID: 9032449780 Enrollment ID: I20190924001682 |
| Provider Name | Frances a Tepolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407290604 PECOS PAC ID: 7719234251 Enrollment ID: I20190926000871 |
| Provider Name | Kelly C Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750736252 PECOS PAC ID: 4385931849 Enrollment ID: I20190927001035 |
| Provider Name | Sakshi Kaul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184044067 PECOS PAC ID: 6305141169 Enrollment ID: I20191002000804 |
| Provider Name | Christopher Merriman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841847027 PECOS PAC ID: 1355671454 Enrollment ID: I20191002001084 |
| Provider Name | Trenton J Smolik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477903573 PECOS PAC ID: 6204128176 Enrollment ID: I20191016001518 |
| Provider Name | Michael D Forster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366823692 PECOS PAC ID: 5890099329 Enrollment ID: I20191023001859 |
| Provider Name | Kristi M Bohlig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770822330 PECOS PAC ID: 5890934376 Enrollment ID: I20191024001230 |
| Provider Name | Emily Patricia Ann Schueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871077719 PECOS PAC ID: 1355673914 Enrollment ID: I20191031000299 |
| Provider Name | Teia Rose Wolter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518500578 PECOS PAC ID: 5294067682 Enrollment ID: I20191105001010 |
| Provider Name | Taylor a Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356835433 PECOS PAC ID: 9931531258 Enrollment ID: I20191107000689 |
| Provider Name | Faisa Hassan Abdi-omar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467006700 PECOS PAC ID: 7911339866 Enrollment ID: I20191114000197 |
| Provider Name | Jordan E Lajoie-zoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639713290 PECOS PAC ID: 9032542014 Enrollment ID: I20191205000372 |
| Provider Name | Elizabeth L Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942007 PECOS PAC ID: 0143653840 Enrollment ID: I20191211001428 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20191211002088 |
| Provider Name | Luis a Servin-abad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760640130 PECOS PAC ID: 3971736646 Enrollment ID: I20191221000445 |
| Provider Name | Amanda L Braun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083256135 PECOS PAC ID: 9032544325 Enrollment ID: I20200114003249 |
| Provider Name | Eva L Stazzoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801215470 PECOS PAC ID: 5395019061 Enrollment ID: I20200122002198 |
| Provider Name | Blake H Cedarleaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154967156 PECOS PAC ID: 1355776014 Enrollment ID: I20200127002413 |
| Provider Name | Derek Joseph Koll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255827119 PECOS PAC ID: 4183050669 Enrollment ID: I20200131000034 |
| Provider Name | Laura a Karnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881237840 PECOS PAC ID: 0042647760 Enrollment ID: I20200219000480 |
| Provider Name | Karen N Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396830683 PECOS PAC ID: 6507293180 Enrollment ID: I20200220000156 |
| Provider Name | Olivia T Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659538163 PECOS PAC ID: 0143442962 Enrollment ID: I20200226000470 |
| Provider Name | Jamie R Pohlmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275163388 PECOS PAC ID: 2860829801 Enrollment ID: I20200303002401 |
| Provider Name | Vera G Lwanga-zaman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184267445 PECOS PAC ID: 0749618510 Enrollment ID: I20200311000128 |
| Provider Name | Callie M Silvers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962035121 PECOS PAC ID: 2860820198 Enrollment ID: I20200319000679 |
| Provider Name | Anne E Cullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164055505 PECOS PAC ID: 7113355256 Enrollment ID: I20200324000464 |
| Provider Name | Thomas R Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982234514 PECOS PAC ID: 8426487380 Enrollment ID: I20200330000262 |
| Provider Name | Kristin M Pomplun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104467935 PECOS PAC ID: 2769811470 Enrollment ID: I20200401000514 |
| Provider Name | Faith K D Schlicht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023640034 PECOS PAC ID: 5799114096 Enrollment ID: I20200408001519 |
| Provider Name | Mallory J Kantos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952938268 PECOS PAC ID: 5294165916 Enrollment ID: I20200421001963 |
| Provider Name | Sarah R Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143624 PECOS PAC ID: 4880024462 Enrollment ID: I20200422002041 |
| Provider Name | Laura L Stang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790311934 PECOS PAC ID: 9739510629 Enrollment ID: I20200508001465 |
| Provider Name | Nudrat Tasneem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861807786 PECOS PAC ID: 4880811074 Enrollment ID: I20200521001994 |
| Provider Name | Wade E Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447645916 PECOS PAC ID: 1355656984 Enrollment ID: I20200526000075 |
| Provider Name | Jaclyn N Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356760987 PECOS PAC ID: 4981993409 Enrollment ID: I20200601000527 |
| Provider Name | Gilbert Cadena |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760649255 PECOS PAC ID: 0749418184 Enrollment ID: I20200602000315 |
| Provider Name | Sade M Finn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578099545 PECOS PAC ID: 5799057899 Enrollment ID: I20200609001866 |
| Provider Name | Alexander R Omann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700415114 PECOS PAC ID: 6507288123 Enrollment ID: I20200626000857 |
| Provider Name | Jenna L Dolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073082681 PECOS PAC ID: 8527480169 Enrollment ID: I20200626001796 |
| Provider Name | Justin P Stocks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811124837 PECOS PAC ID: 0547446361 Enrollment ID: I20200707001585 |
| Provider Name | Fatimah Adebukola Oloriegbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760672554 PECOS PAC ID: 5698943744 Enrollment ID: I20200731000849 |
| Provider Name | John W Kelsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992169403 PECOS PAC ID: 4082908181 Enrollment ID: I20200818000340 |
| Provider Name | Brenda K Bridges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710938816 PECOS PAC ID: 6800856410 Enrollment ID: I20200820002172 |
| Provider Name | Daniel J O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093248536 PECOS PAC ID: 7517237357 Enrollment ID: I20200826003563 |
| Provider Name | Heenam Goel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396128526 PECOS PAC ID: 6204141047 Enrollment ID: I20200902001001 |
| Provider Name | Maria E Kolojeski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952750952 PECOS PAC ID: 7618260415 Enrollment ID: I20200918002540 |
| Provider Name | Nicole L Stommes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407047640 PECOS PAC ID: 7012336845 Enrollment ID: I20200929001021 |
| Provider Name | Amanda Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013271238 PECOS PAC ID: 1557652898 Enrollment ID: I20200929002930 |
| Provider Name | Bernadette T Warnert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407499023 PECOS PAC ID: 0345669586 Enrollment ID: I20201007002110 |
| Provider Name | Matthew P Eggebrecht |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073962395 PECOS PAC ID: 3577808328 Enrollment ID: I20201007002298 |
| Provider Name | Jill Wilcken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456256 PECOS PAC ID: 4082034004 Enrollment ID: I20201013002546 |
| Provider Name | Khalid M Sonbol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750796629 PECOS PAC ID: 3476778242 Enrollment ID: I20201020002594 |
| Provider Name | Jaren S Lukach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164040804 PECOS PAC ID: 9830519412 Enrollment ID: I20201020003416 |
| Provider Name | Morgan N Matter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629681119 PECOS PAC ID: 2264852698 Enrollment ID: I20201023000050 |
| Provider Name | Mahad a Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184144057 PECOS PAC ID: 2163832239 Enrollment ID: I20201030000037 |
| Provider Name | Traci J Salveson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407467749 PECOS PAC ID: 2466862180 Enrollment ID: I20201109003260 |
| Provider Name | Andrew Mattila |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265033815 PECOS PAC ID: 0143631424 Enrollment ID: I20201117001184 |
| Provider Name | Cameron C Hendrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487264164 PECOS PAC ID: 0648681882 Enrollment ID: I20201119002300 |
| Provider Name | Taylor D Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508477845 PECOS PAC ID: 7618388737 Enrollment ID: I20201122000025 |
| Provider Name | Crystal L Fleischhacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356956601 PECOS PAC ID: 5698187185 Enrollment ID: I20201207000657 |
| Provider Name | Jessica R Neeser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346853504 PECOS PAC ID: 6204248826 Enrollment ID: I20201223001083 |
| Provider Name | Cassandra L Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435773 PECOS PAC ID: 0840603478 Enrollment ID: I20201228002235 |
| Provider Name | Ese Blessing Aghenta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921567 PECOS PAC ID: 8224337191 Enrollment ID: I20210105001025 |
| Provider Name | Siri L Konz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090468 PECOS PAC ID: 4385057306 Enrollment ID: I20210113000839 |
| Provider Name | Kelsey R Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174119432 PECOS PAC ID: 6709290265 Enrollment ID: I20210126000063 |
| Provider Name | Samantha K. King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417543703 PECOS PAC ID: 1153735261 Enrollment ID: I20210202000426 |
| Provider Name | Kelli J Jensch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134611049 PECOS PAC ID: 1355755323 Enrollment ID: I20210203000142 |
| Provider Name | Jaycob M Nietfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417544479 PECOS PAC ID: 6800200601 Enrollment ID: I20210205000004 |
| Provider Name | Katie M Holst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578168506 PECOS PAC ID: 2668886482 Enrollment ID: I20210205001183 |
| Provider Name | Melissa a Knopik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274918 PECOS PAC ID: 4486082716 Enrollment ID: I20210211002525 |
| Provider Name | Sarah M Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667035 PECOS PAC ID: 7315352861 Enrollment ID: I20210216002132 |
| Provider Name | Richard E Belmont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013919968 PECOS PAC ID: 8921182379 Enrollment ID: I20210311002633 |
| Provider Name | Douglas N Mellinger |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124131073 PECOS PAC ID: 7911943865 Enrollment ID: I20210323000879 |
| Provider Name | Eric Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922054097 PECOS PAC ID: 2961427125 Enrollment ID: I20210325001963 |
| Provider Name | Miranda L Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073190245 PECOS PAC ID: 4486061678 Enrollment ID: I20210406002004 |
| Provider Name | Amanda J Dircks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326657255 PECOS PAC ID: 7618385634 Enrollment ID: I20210412002391 |
| Provider Name | Summer H Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619205424 PECOS PAC ID: 2961810809 Enrollment ID: I20210414001696 |
| Provider Name | Brady W Reese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306109673 PECOS PAC ID: 6507198223 Enrollment ID: I20210513000375 |
| Provider Name | Benjamin P Morey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629430012 PECOS PAC ID: 6709173610 Enrollment ID: I20210623001353 |
| Provider Name | Fernando Aguirre Amezquita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457766727 PECOS PAC ID: 9133425358 Enrollment ID: I20210629002485 |
| Provider Name | Hannah R Motschke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508431065 PECOS PAC ID: 8921400383 Enrollment ID: I20210708001540 |
| Provider Name | Cari D Natvig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760974760 PECOS PAC ID: 2365799434 Enrollment ID: I20210708002115 |
| Provider Name | Stephen K Kidd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477816304 PECOS PAC ID: 6901024777 Enrollment ID: I20210708002787 |
| Provider Name | Blake S Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205324209 PECOS PAC ID: 6507113289 Enrollment ID: I20210709002122 |
| Provider Name | Timothy M Mangold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043370315 PECOS PAC ID: 9133355753 Enrollment ID: I20210709002243 |
| Provider Name | Elizabeth a Bevier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982191250 PECOS PAC ID: 9032511787 Enrollment ID: I20210716002372 |
| Provider Name | Eric D Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869766 PECOS PAC ID: 9830446517 Enrollment ID: I20210720000331 |
| Provider Name | Nicole J Carbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578138020 PECOS PAC ID: 9234532904 Enrollment ID: I20210720000433 |
| Provider Name | Lindsay Marie Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477849222 PECOS PAC ID: 4789972720 Enrollment ID: I20210729000467 |
| Provider Name | Rachel M Elfmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184244220 PECOS PAC ID: 8527461342 Enrollment ID: I20210730000583 |
| Provider Name | Courtney M Klinkhammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609371939 PECOS PAC ID: 6608129820 Enrollment ID: I20210806000006 |
| Provider Name | Sara M Maciej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881262269 PECOS PAC ID: 9335543487 Enrollment ID: I20210811001922 |
| Provider Name | Kimberly C Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689165987 PECOS PAC ID: 5799189783 Enrollment ID: I20210812003684 |
| Provider Name | Oluwatobi O Falade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447813431 PECOS PAC ID: 6800121971 Enrollment ID: I20210813001330 |
| Provider Name | Gamaliel Jesse Ferrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460734 PECOS PAC ID: 1759616865 Enrollment ID: I20210813003033 |
| Provider Name | Robert H Krieger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912367103 PECOS PAC ID: 0143625749 Enrollment ID: I20210819002716 |
| Provider Name | Kelly Marie Kerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871904292 PECOS PAC ID: 4789956475 Enrollment ID: I20210819002896 |
| Provider Name | Bridget Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457024168 PECOS PAC ID: 3173928637 Enrollment ID: I20210820001552 |
| Provider Name | David B Bushey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760918809 PECOS PAC ID: 1254601172 Enrollment ID: I20210820002440 |
| Provider Name | Munir J Abdalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962909390 PECOS PAC ID: 9335487511 Enrollment ID: I20210824002712 |
| Provider Name | Brianna L Thomalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539057 PECOS PAC ID: 6002211265 Enrollment ID: I20210826000009 |
| Provider Name | Tessa M Slinden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922671205 PECOS PAC ID: 3678978798 Enrollment ID: I20210826002844 |
| Provider Name | Chukwunonso U Chime |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619318771 PECOS PAC ID: 9133559164 Enrollment ID: I20210827000237 |
| Provider Name | Mollie M Renier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548751233 PECOS PAC ID: 5092064279 Enrollment ID: I20210916000149 |
| Provider Name | Joseph R Stenslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356913875 PECOS PAC ID: 0840697959 Enrollment ID: I20210916000266 |
| Provider Name | Brittney J Huisinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792874 PECOS PAC ID: 8820495799 Enrollment ID: I20210920001302 |
| Provider Name | Caroline Sokomwuyoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017255 PECOS PAC ID: 4981001872 Enrollment ID: I20210920001878 |
| Provider Name | Frank Brancaccio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918234 PECOS PAC ID: 4082745534 Enrollment ID: I20210920002837 |
| Provider Name | Zayda KM Cedarleaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679105696 PECOS PAC ID: 0143627992 Enrollment ID: I20210922000904 |
| Provider Name | Elizabeth a Tacl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093194706 PECOS PAC ID: 7618289554 Enrollment ID: I20210923003000 |
| Provider Name | Janelle Marie Thoreson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906395 PECOS PAC ID: 4981001518 Enrollment ID: I20210924001580 |
| Provider Name | Dennis S Guadarrama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619350402 PECOS PAC ID: 2365870607 Enrollment ID: I20210927001879 |
| Provider Name | Abigael M Luke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720483373 PECOS PAC ID: 2961717210 Enrollment ID: I20210928002949 |
| Provider Name | Angela M Adamek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881368256 PECOS PAC ID: 6103224258 Enrollment ID: I20211005000609 |
| Provider Name | Mitchell O Tollefson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184393381 PECOS PAC ID: 0143628776 Enrollment ID: I20211012000593 |
| Provider Name | Lindsey M Scherer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558841999 PECOS PAC ID: 6103160700 Enrollment ID: I20211013000314 |
| Provider Name | Jill C Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316617608 PECOS PAC ID: 6305244708 Enrollment ID: I20211015002029 |
| Provider Name | Elizabeth M Ongera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215478433 PECOS PAC ID: 6507264868 Enrollment ID: I20211018002045 |
| Provider Name | Lindsey M Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013686955 PECOS PAC ID: 9830587047 Enrollment ID: I20211020002024 |
| Provider Name | Chelsea M Steffens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366113136 PECOS PAC ID: 8224426440 Enrollment ID: I20211020002844 |
| Provider Name | Mark K Okeefe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801465471 PECOS PAC ID: 8628466299 Enrollment ID: I20211101002015 |
| Provider Name | Michael P Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750953709 PECOS PAC ID: 0749678274 Enrollment ID: I20211102001764 |
| Provider Name | Ebrima Touray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356005441 PECOS PAC ID: 5799174868 Enrollment ID: I20211110002292 |
| Provider Name | Amber L Lieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891467650 PECOS PAC ID: 2365831443 Enrollment ID: I20211110002542 |
| Provider Name | Emma F Jarocki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982272696 PECOS PAC ID: 7911396007 Enrollment ID: I20211110002968 |
| Provider Name | Easton J Popma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235761396 PECOS PAC ID: 1052700184 Enrollment ID: I20211111001108 |
| Provider Name | Sarah H Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217339 PECOS PAC ID: 4082004403 Enrollment ID: I20211129001702 |
| Provider Name | Mary Elizabeth Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439241 PECOS PAC ID: 5890185243 Enrollment ID: I20211130000261 |
| Provider Name | Sarah J K Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457858433 PECOS PAC ID: 7214362714 Enrollment ID: I20211130001507 |
| Provider Name | Anna E Boeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396409611 PECOS PAC ID: 3274923032 Enrollment ID: I20211209001794 |
| Provider Name | Gregory Earl Sanger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790448504 PECOS PAC ID: 6002206810 Enrollment ID: I20211210001038 |
| Provider Name | Annie J Weir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558026757 PECOS PAC ID: 5890187371 Enrollment ID: I20220112001965 |
| Provider Name | Jamie Elizabeth Seaquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104588656 PECOS PAC ID: 2860884723 Enrollment ID: I20220126002742 |
| Provider Name | Briana Rose Bruce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346694023 PECOS PAC ID: 8729326905 Enrollment ID: I20220129000352 |
| Provider Name | Cassondra Opatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467021147 PECOS PAC ID: 0941693436 Enrollment ID: I20220204001251 |
| Provider Name | Mohsan Mushtaq Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285163212 PECOS PAC ID: 2062781750 Enrollment ID: I20220214002060 |
| Provider Name | Ashley a Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053079350 PECOS PAC ID: 7810381845 Enrollment ID: I20220308001151 |
| Provider Name | Paul D Faybusovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497109219 PECOS PAC ID: 8820325491 Enrollment ID: I20220310001496 |
| Provider Name | Ramakanth Pata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215481593 PECOS PAC ID: 3072867605 Enrollment ID: I20220322002985 |
| Provider Name | Shelby L Koll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669126678 PECOS PAC ID: 8123413416 Enrollment ID: I20220323002676 |
| Provider Name | Alireza Nathani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932593175 PECOS PAC ID: 8628320009 Enrollment ID: I20220331002701 |
| Provider Name | Gretchen R Moos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306592399 PECOS PAC ID: 7618363409 Enrollment ID: I20220404001482 |
| Provider Name | Sarah a Eid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124774609 PECOS PAC ID: 3779979224 Enrollment ID: I20220408001473 |
| Provider Name | Brittany P Lampher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336897909 PECOS PAC ID: 4880080340 Enrollment ID: I20220408001886 |
| Provider Name | Thomas J Bevans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871247270 PECOS PAC ID: 5698162881 Enrollment ID: I20220418000584 |
| Provider Name | Taylor L Ricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184371437 PECOS PAC ID: 1254728488 Enrollment ID: I20220418002152 |
| Provider Name | Justin G Hammar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427437102 PECOS PAC ID: 9335453653 Enrollment ID: I20220504000946 |
| Provider Name | Jessica M Vanderhagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871501734 PECOS PAC ID: 1254335680 Enrollment ID: I20220601002767 |
| Provider Name | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Kristen M Kramp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457092140 PECOS PAC ID: 7315327640 Enrollment ID: I20220705001829 |
| Provider Name | Jessica M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699416974 PECOS PAC ID: 0648651067 Enrollment ID: I20220718000595 |
| Provider Name | Heba H E Afeefy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295017044 PECOS PAC ID: 2264780782 Enrollment ID: I20220718001059 |
| Provider Name | Seth D Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193957 PECOS PAC ID: 4486076973 Enrollment ID: I20220718001182 |
| Provider Name | Alisha F Lindberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508353327 PECOS PAC ID: 5991053993 Enrollment ID: I20220719002409 |
| Provider Name | Krista a Moran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508442120 PECOS PAC ID: 9739560897 Enrollment ID: I20220720002268 |
| Provider Name | Erick Enrique Jimenez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487036851 PECOS PAC ID: 6800194358 Enrollment ID: I20220809001342 |
| Provider Name | Leah a Arntson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799277 PECOS PAC ID: 6305229618 Enrollment ID: I20220819000829 |
| Provider Name | Jolene J Breth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598498115 PECOS PAC ID: 6507249828 Enrollment ID: I20220819001069 |
| Provider Name | Wesley J Halseth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891227971 PECOS PAC ID: 3678844867 Enrollment ID: I20220921002720 |
| Provider Name | Jennifer Lynn Gertgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215662051 PECOS PAC ID: 1355726589 Enrollment ID: I20220923001144 |
| Provider Name | Rachel D Woehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821726639 PECOS PAC ID: 1456737360 Enrollment ID: I20220929003189 |
| Provider Name | Miranda L Boehm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235869942 PECOS PAC ID: 2466838222 Enrollment ID: I20220930002005 |
| Provider Name | Aric a Wogsland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649664822 PECOS PAC ID: 8729464482 Enrollment ID: I20221003002920 |
| Provider Name | Rebecca J Lehmkuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609595107 PECOS PAC ID: 6204212541 Enrollment ID: I20221010002685 |
| Provider Name | Rebecca S Taffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773292 PECOS PAC ID: 5193191450 Enrollment ID: I20221012001536 |
| Provider Name | Janine a Rudnitski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619600426 PECOS PAC ID: 0143696344 Enrollment ID: I20221012003595 |
| Provider Name | Bradley Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316107642 PECOS PAC ID: 6305007451 Enrollment ID: I20221018000568 |
| Provider Name | Matthew a Molenaar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053871194 PECOS PAC ID: 3779913280 Enrollment ID: I20221021000202 |
| Provider Name | Lindsay Lee Theisen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396138178 PECOS PAC ID: 8224404652 Enrollment ID: I20221026001015 |
| Provider Name | Michael E. Siergiej |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962123331 PECOS PAC ID: 8224405626 Enrollment ID: I20221027001105 |
| Provider Name | Mary E Krupich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730106402 PECOS PAC ID: 2961697768 Enrollment ID: I20221031002995 |
| Provider Name | Kalie M Bisel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043840036 PECOS PAC ID: 1557738697 Enrollment ID: I20221103000065 |
| Provider Name | Emily a Jelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659092849 PECOS PAC ID: 5092182956 Enrollment ID: I20221104002368 |
| Provider Name | Cassandra Louise Hierlinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750007217 PECOS PAC ID: 4789051681 Enrollment ID: I20221107001244 |
| Provider Name | Joann M Shangrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154249 PECOS PAC ID: 6507233129 Enrollment ID: I20221110000543 |
| Provider Name | Iqra S Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316396476 PECOS PAC ID: 5597173914 Enrollment ID: I20221114001526 |
| Provider Name | Diana F Niblack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275255721 PECOS PAC ID: 7315314887 Enrollment ID: I20221115000085 |
| Provider Name | Jordana Caruso Kamikovski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184348039 PECOS PAC ID: 3375912678 Enrollment ID: I20221208001083 |
| Provider Name | Melissa Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982320644 PECOS PAC ID: 4284003435 Enrollment ID: I20221209000405 |
| Provider Name | Kyle Andrew Pruett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780311217 PECOS PAC ID: 5294104428 Enrollment ID: I20221212000407 |
| Provider Name | Nicholas Allen Cook-rostie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386225720 PECOS PAC ID: 5193128825 Enrollment ID: I20221213001294 |
| Provider Name | Elizabeth Rieder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245951250 PECOS PAC ID: 8123498516 Enrollment ID: I20221229000963 |
| Provider Name | Sarah Jean White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518692789 PECOS PAC ID: 2062882335 Enrollment ID: I20221230002086 |
| Provider Name | Borislav Mravkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376680660 PECOS PAC ID: 4385711316 Enrollment ID: I20230112002839 |
| Provider Name | Nathan Jeffrey King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023728623 PECOS PAC ID: 1759752587 Enrollment ID: I20230113001415 |
| Provider Name | Savanna Rose Lacoursiere |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275246498 PECOS PAC ID: 8224409693 Enrollment ID: I20230123000319 |
| Provider Name | Jennifer Tarpenning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093336299 PECOS PAC ID: 2466875927 Enrollment ID: I20230123002506 |
| Provider Name | Casey Rae Hess |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306550074 PECOS PAC ID: 4183095136 Enrollment ID: I20230130001840 |
| Provider Name | Harkiran Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746103 PECOS PAC ID: 3678843349 Enrollment ID: I20230307001831 |
| Provider Name | Beth Ellen Parries |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538867270 PECOS PAC ID: 1759754898 Enrollment ID: I20230310000629 |
| Provider Name | Mikaela Cheyenne Willhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154020246 PECOS PAC ID: 0446624506 Enrollment ID: I20230314000135 |
| Provider Name | Leif Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235711052 PECOS PAC ID: 6901209659 Enrollment ID: I20230406001057 |
| Provider Name | Sarah Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760845705 PECOS PAC ID: 0941535199 Enrollment ID: I20230407000756 |
| Provider Name | Dustin P Heck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164126637 PECOS PAC ID: 7315302627 Enrollment ID: I20230420000425 |
| Provider Name | Ivy May Debruycker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265136360 PECOS PAC ID: 9335504570 Enrollment ID: I20230424000835 |
| Provider Name | Cole Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346941994 PECOS PAC ID: 7618332396 Enrollment ID: I20230502002554 |
| Provider Name | Mona Mostafa Sonbol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639674930 PECOS PAC ID: 9638534068 Enrollment ID: I20230508001317 |
| Provider Name | Michael J.M. Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538857503 PECOS PAC ID: 1557727757 Enrollment ID: I20230512001999 |
| Provider Name | Nicholas J Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558704338 PECOS PAC ID: 0840596169 Enrollment ID: I20230512002500 |
| Provider Name | Robert Imel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154850592 PECOS PAC ID: 2062764848 Enrollment ID: I20230527000198 |
| Provider Name | Cindy L Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144930512 PECOS PAC ID: 7315317815 Enrollment ID: I20230607002367 |
| Provider Name | Hugh Adams |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356637482 PECOS PAC ID: 9234450156 Enrollment ID: I20230613002438 |
| Provider Name | Tamara Fuller Eddins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265412480 PECOS PAC ID: 8820215650 Enrollment ID: I20230613002832 |
| Provider Name | Jeanne J Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174827984 PECOS PAC ID: 6507224516 Enrollment ID: I20230623001487 |
| Provider Name | Haylee Elvendahl-rumley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083272520 PECOS PAC ID: 6800120478 Enrollment ID: I20230623002598 |
| Provider Name | Sydni Imel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689034027 PECOS PAC ID: 3870977267 Enrollment ID: I20230707001671 |
| Provider Name | Jordan Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639527856 PECOS PAC ID: 2466745831 Enrollment ID: I20230711000640 |
| Provider Name | Anna Jordan Heiling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588358022 PECOS PAC ID: 5799144523 Enrollment ID: I20230711002378 |
| Provider Name | Matthew Heiling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497449938 PECOS PAC ID: 9133588973 Enrollment ID: I20230711002835 |
| Provider Name | Carolyn Rae Radermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972295194 PECOS PAC ID: 0648639492 Enrollment ID: I20230711002993 |
| Provider Name | Thomas Walter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225665904 PECOS PAC ID: 4789044249 Enrollment ID: I20230714002624 |
| Provider Name | Samantha Jo Handley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609568419 PECOS PAC ID: 8628438041 Enrollment ID: I20230718000400 |
| Provider Name | Austin Grant Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699451740 PECOS PAC ID: 0446610653 Enrollment ID: I20230720000212 |
| Provider Name | Anne Gucinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174207484 PECOS PAC ID: 0042671695 Enrollment ID: I20230731001487 |
| Provider Name | Svetlana Adusheva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346860632 PECOS PAC ID: 9537582028 Enrollment ID: I20230801001959 |
| Provider Name | Thaer a Hasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386335651 PECOS PAC ID: 1355702549 Enrollment ID: I20230803004293 |
| Provider Name | Palistha Amatya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528649837 PECOS PAC ID: 0941602742 Enrollment ID: I20230804001319 |
| Provider Name | Juliette E Power |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102806 PECOS PAC ID: 2860780467 Enrollment ID: I20230804002654 |
| Provider Name | Holly N Frischmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932890399 PECOS PAC ID: 5496117939 Enrollment ID: I20230815001950 |
| Provider Name | Molly Teigen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265175392 PECOS PAC ID: 8628431798 Enrollment ID: I20230823001904 |
| Provider Name | James Drinane |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508271099 PECOS PAC ID: 3870718836 Enrollment ID: I20230901003611 |
| Provider Name | Delnessaw M Hirpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447781828 PECOS PAC ID: 3779903273 Enrollment ID: I20230911001229 |
| Provider Name | Aubrey Anna Euteneuer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851041529 PECOS PAC ID: 0042691636 Enrollment ID: I20230914001456 |
| Provider Name | Ethan Grant Novacinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083356406 PECOS PAC ID: 6901250125 Enrollment ID: I20230921002798 |
| Provider Name | Erin Salverda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003593237 PECOS PAC ID: 6204280316 Enrollment ID: I20230922002790 |
| Provider Name | Laken Christine Haala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639955362 PECOS PAC ID: 9830543800 Enrollment ID: I20230925001874 |
| Provider Name | Christopher Odens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386321651 PECOS PAC ID: 6800240839 Enrollment ID: I20230926000643 |
| Provider Name | Sadio Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043832132 PECOS PAC ID: 9739502949 Enrollment ID: I20230928001466 |
| Provider Name | Mohamad Hani Lababidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295081412 PECOS PAC ID: 7810270485 Enrollment ID: I20230929003253 |
| Provider Name | Subbumeenakshi Alagappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124688759 PECOS PAC ID: 0042542805 Enrollment ID: I20231002003640 |
| Provider Name | Wing-sze Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720763378 PECOS PAC ID: 3173977667 Enrollment ID: I20231003001152 |
| Provider Name | Becca Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013794817 PECOS PAC ID: 3577917079 Enrollment ID: I20231003001513 |
| Provider Name | Nataliia Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063862746 PECOS PAC ID: 0547508087 Enrollment ID: I20231009003283 |
| Provider Name | Elizabeth a Stocker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386324762 PECOS PAC ID: 6204282957 Enrollment ID: I20231101000278 |
| Provider Name | Samantha Eileen Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003697947 PECOS PAC ID: 9537516083 Enrollment ID: I20231106002519 |
| Provider Name | Cassandra Marie Hirman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255116554 PECOS PAC ID: 1951758200 Enrollment ID: I20231108003264 |
| Provider Name | Samantha Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750166500 PECOS PAC ID: 3375991748 Enrollment ID: I20231122003007 |
| Provider Name | Brenda Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437154440 PECOS PAC ID: 6002900388 Enrollment ID: I20231128000790 |
| Provider Name | Theresa Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508096256 PECOS PAC ID: 8123270188 Enrollment ID: I20231129001074 |
| Provider Name | Manzur Moidunny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689169872 PECOS PAC ID: 7416286067 Enrollment ID: I20231206000413 |
| Provider Name | Megan Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801365531 PECOS PAC ID: 2668822321 Enrollment ID: I20231221002502 |
| Provider Name | Maria E Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245582915 PECOS PAC ID: 5991016032 Enrollment ID: I20231222002971 |
| Provider Name | Levi Rizk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861785982 PECOS PAC ID: 5092949792 Enrollment ID: I20231227001669 |
| Provider Name | Katherine Lynn Hill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497482665 PECOS PAC ID: 7618327032 Enrollment ID: I20231228000426 |
| Provider Name | Troy Robert Weber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003048430 PECOS PAC ID: 2668822941 Enrollment ID: I20231228002619 |
| Provider Name | Kelcee Kociemba |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992394555 PECOS PAC ID: 1456702356 Enrollment ID: I20240104002526 |
| Provider Name | Monica Marie Guggenberger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003187899 PECOS PAC ID: 2062863723 Enrollment ID: I20240105004047 |
| Provider Name | Angela Marie Sorensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619221140 PECOS PAC ID: 6507217874 Enrollment ID: I20240111000549 |
| Provider Name | Amy Lynn Roden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013153 PECOS PAC ID: 2860713807 Enrollment ID: I20240129000902 |
| Provider Name | Maryan Mohamed Aideed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083382055 PECOS PAC ID: 6204289929 Enrollment ID: I20240130001417 |
| Provider Name | Zachary Cole Dorholt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114105699 PECOS PAC ID: 2860845492 Enrollment ID: I20240130002131 |
| Provider Name | Dawn Benson-hance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316314917 PECOS PAC ID: 9335592732 Enrollment ID: I20240201002997 |
| Provider Name | Barbara Skodje-mack |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609933498 PECOS PAC ID: 3678916814 Enrollment ID: I20240205003400 |
| Provider Name | Patrick Oguejiofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881982114 PECOS PAC ID: 8820301518 Enrollment ID: I20240207001796 |
| Provider Name | Howard Levene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20240214001715 |
| Provider Name | Lori Kay Laudenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689155624 PECOS PAC ID: 9931543881 Enrollment ID: I20240219002265 |
| Provider Name | Tyler Liska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194594556 PECOS PAC ID: 7618311515 Enrollment ID: I20240220000282 |
| Provider Name | Kristine Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629849237 PECOS PAC ID: 8022452630 Enrollment ID: I20240221003782 |
| Provider Name | Stephanie Seasly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336405711 PECOS PAC ID: 5799908331 Enrollment ID: I20240304002967 |
| Provider Name | Jennifer Barie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917912 PECOS PAC ID: 2062858160 Enrollment ID: I20240312001515 |
| Provider Name | Kristina Chien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518602820 PECOS PAC ID: 8325428915 Enrollment ID: I20240319000943 |
| Provider Name | Thomas Whitton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407204233 PECOS PAC ID: 6608154745 Enrollment ID: I20240402000697 |
| Provider Name | Emma Sheforgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184481418 PECOS PAC ID: 8123466729 Enrollment ID: I20240402001481 |
| Provider Name | Hannah Lois Kunkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881326122 PECOS PAC ID: 3870931306 Enrollment ID: I20240403002262 |
| Provider Name | Sushrit Bisht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558936765 PECOS PAC ID: 5991108797 Enrollment ID: I20240408000379 |
| Provider Name | Morgan Kucala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831501204 PECOS PAC ID: 8527406644 Enrollment ID: I20240409000343 |
| Provider Name | Erin Niehaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742610 PECOS PAC ID: 2769878800 Enrollment ID: I20240411004930 |
| Provider Name | Cassandra Jonai Sanow-hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740033802 PECOS PAC ID: 5496194458 Enrollment ID: I20240423004263 |
| Provider Name | Tammy Rose Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710986997 PECOS PAC ID: 9537072046 Enrollment ID: I20240429001490 |
| Provider Name | Kim Confer-seeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124020151 PECOS PAC ID: 7719027614 Enrollment ID: I20240502002174 |
| Provider Name | Caleb Hansen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275119851 PECOS PAC ID: 3274934666 Enrollment ID: I20240508000726 |
| Provider Name | Jennifer Danner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295312049 PECOS PAC ID: 7810306735 Enrollment ID: I20240510002529 |
| Provider Name | Nabeel S Saghir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417487323 PECOS PAC ID: 3173898301 Enrollment ID: I20240513001010 |
| Provider Name | Kory Bodily |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215135215 PECOS PAC ID: 8921292368 Enrollment ID: I20240524003086 |
| Provider Name | Hassan Haji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720666522 PECOS PAC ID: 1052714276 Enrollment ID: I20240528001797 |
| Provider Name | Erica Tauck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922459957 PECOS PAC ID: 5395016158 Enrollment ID: I20240529000446 |
| Provider Name | Rajaninder Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679905202 PECOS PAC ID: 9436441615 Enrollment ID: I20240606004188 |
| Provider Name | Rachel Ann Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437118403 PECOS PAC ID: 1254425101 Enrollment ID: I20240614001372 |
| Provider Name | Alexandra Schefter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972037430 PECOS PAC ID: 3375815996 Enrollment ID: I20240614003950 |
| Provider Name | Alicia Barnes Chitanand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841602729 PECOS PAC ID: 9335368307 Enrollment ID: I20240621002619 |
| Provider Name | Madeline Mangin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144899931 PECOS PAC ID: 4486052024 Enrollment ID: I20240624001557 |
| Provider Name | Natalie Mcintire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821662560 PECOS PAC ID: 8123427085 Enrollment ID: I20240625002683 |
| Provider Name | Benjamin Kruse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982474029 PECOS PAC ID: 7810431988 Enrollment ID: I20240629000059 |
| Provider Name | Carly Jo Eastwold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700625043 PECOS PAC ID: 5092259119 Enrollment ID: I20240701001542 |
| Provider Name | Landon L Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700456811 PECOS PAC ID: 1153867569 Enrollment ID: I20240722003206 |
| Provider Name | Mary Kaye Tacker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629269626 PECOS PAC ID: 5698211928 Enrollment ID: I20240723003664 |
| Provider Name | Renee Lapointe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528316338 PECOS PAC ID: 3072764331 Enrollment ID: I20240724000590 |
| Provider Name | Abubakar Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992333033 PECOS PAC ID: 0547706640 Enrollment ID: I20240725001249 |
| Provider Name | Neethi Dasu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013444538 PECOS PAC ID: 9739545070 Enrollment ID: I20240813002282 |
| Provider Name | Olivia Sognesand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760102396 PECOS PAC ID: 1456727932 Enrollment ID: I20240816001215 |
| Provider Name | Michelle Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144074550 PECOS PAC ID: 9638617731 Enrollment ID: I20240821000440 |
| Provider Name | Julie Michelle Edinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083394944 PECOS PAC ID: 5991243990 Enrollment ID: I20240821000546 |
| Provider Name | Ross Voelker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104485986 PECOS PAC ID: 2567900574 Enrollment ID: I20240821001252 |
| Provider Name | Jacob Allen Lefever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639908155 PECOS PAC ID: 8527506542 Enrollment ID: I20240821001413 |
| Provider Name | Daniel Lepone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780117150 PECOS PAC ID: 3375812522 Enrollment ID: I20240826003563 |
| Provider Name | Erica O'kane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962931535 PECOS PAC ID: 4880948561 Enrollment ID: I20240826003968 |
| Provider Name | Julie Walsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790272680 PECOS PAC ID: 5294180774 Enrollment ID: I20240909000061 |
| Provider Name | Sara Elizabeth Kalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568215275 PECOS PAC ID: 5597205211 Enrollment ID: I20240909004221 |
| Provider Name | Alec Weir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346683232 PECOS PAC ID: 4981997038 Enrollment ID: I20240910001496 |
| Provider Name | Amanda Marie Roerick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740027911 PECOS PAC ID: 6002356698 Enrollment ID: I20240910002569 |
| Provider Name | Suraj Arvind Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760563878 PECOS PAC ID: 1658529060 Enrollment ID: I20240926003051 |
| Provider Name | Dena Geeta Heen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487886842 PECOS PAC ID: 4082145305 Enrollment ID: I20240926004391 |
| Provider Name | Onyinyechukwu C Uchime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174014120 PECOS PAC ID: 5991236937 Enrollment ID: I20241002000814 |
| Provider Name | Kim C Mackey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285603431 PECOS PAC ID: 4981598604 Enrollment ID: I20241004000383 |
| Provider Name | Brooke Marie Cusin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548961626 PECOS PAC ID: 1658803978 Enrollment ID: I20241011000872 |
| Provider Name | Holly Anne Mcglynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417774415 PECOS PAC ID: 2567994809 Enrollment ID: I20241011001972 |
| Provider Name | Brittany Tomczik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477274694 PECOS PAC ID: 7517499601 Enrollment ID: I20241014004189 |
| Provider Name | Amber Rose Juetten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720806490 PECOS PAC ID: 8022540988 Enrollment ID: I20241016002827 |
| Provider Name | Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982288254 PECOS PAC ID: 6800232570 Enrollment ID: I20241017000835 |
| Provider Name | Robert Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063825511 PECOS PAC ID: 6901177690 Enrollment ID: I20241029004347 |
| Provider Name | Travis D Hand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578210076 PECOS PAC ID: 3274928056 Enrollment ID: I20241030000694 |
| Provider Name | Shannon Marie Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710715214 PECOS PAC ID: 4880127729 Enrollment ID: I20241030001761 |
| Provider Name | Mary Geisenhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245064211 PECOS PAC ID: 5496288359 Enrollment ID: I20241030002823 |
| Provider Name | Yasmin Abdulaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437892536 PECOS PAC ID: 6608256250 Enrollment ID: I20241105001799 |
| Provider Name | Lauren M Blaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326883950 PECOS PAC ID: 4082148432 Enrollment ID: I20241108000026 |
| Provider Name | Taylor Rae Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699596890 PECOS PAC ID: 2264966365 Enrollment ID: I20241112003578 |
| Provider Name | Holly Lindenfelser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861229809 PECOS PAC ID: 6507390531 Enrollment ID: I20241113000586 |
| Provider Name | Jennifer Elizabeth Koski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811684814 PECOS PAC ID: 6305206509 Enrollment ID: I20241114001405 |
| Provider Name | Nkeiruka Ann Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871315564 PECOS PAC ID: 8123552817 Enrollment ID: I20241118002706 |
| Provider Name | Gregory Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790429595 PECOS PAC ID: 7719366327 Enrollment ID: I20241126000731 |
| Provider Name | Meagan Pate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902240112 PECOS PAC ID: 0749576742 Enrollment ID: I20241217001569 |
| Provider Name | Sarah Rowan Eisenreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326879982 PECOS PAC ID: 6901203603 Enrollment ID: I20241217003727 |
| Provider Name | Fariha Furqan Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033801238 PECOS PAC ID: 8628438637 Enrollment ID: I20241218004083 |
| Provider Name | Carolyn Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508853342 PECOS PAC ID: 3678746450 Enrollment ID: I20241230002644 |
| Provider Name | Olexandr Krinochkin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912971318 PECOS PAC ID: 8527074129 Enrollment ID: I20241231000799 |
| Provider Name | Kamran Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336662733 PECOS PAC ID: 4082985593 Enrollment ID: I20250115000544 |
| Provider Name | Austin J Kluver-hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538982582 PECOS PAC ID: 2668901752 Enrollment ID: I20250117001166 |
| Provider Name | Osama Abid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699161877 PECOS PAC ID: 0648527325 Enrollment ID: I20250204001175 |
| Provider Name | Danielle Cataxinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20250212001170 |
| Provider Name | Malik Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174181614 PECOS PAC ID: 7012247828 Enrollment ID: I20250219001437 |
| Provider Name | Erin Lynn Belisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225841653 PECOS PAC ID: 5890215719 Enrollment ID: I20250224000232 |
| Provider Name | Simone Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558024794 PECOS PAC ID: 9931599818 Enrollment ID: I20250224000366 |
| Provider Name | Ann M Crump |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467876433 PECOS PAC ID: 6901029271 Enrollment ID: I20250224001221 |
| Provider Name | Madeline Rose Mackinac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043900475 PECOS PAC ID: 8820519994 Enrollment ID: I20250305001771 |
| Provider Name | Jastindeep Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588216469 PECOS PAC ID: 6204163694 Enrollment ID: I20250307001812 |
| Provider Name | Benjie Chong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982912465 PECOS PAC ID: 2567626674 Enrollment ID: I20250307002042 |
| Provider Name | Allison R Duckworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184449415 PECOS PAC ID: 3577085869 Enrollment ID: I20250317000400 |
| Provider Name | Smit Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508421488 PECOS PAC ID: 6709220502 Enrollment ID: I20250317002655 |
| Provider Name | Joel a Madson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245929843 PECOS PAC ID: 2466812516 Enrollment ID: I20250320000474 |
| Provider Name | Barry Donner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679534796 PECOS PAC ID: 4082682083 Enrollment ID: I20250320000619 |
| Provider Name | Braden Dasovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760047518 PECOS PAC ID: 5395106256 Enrollment ID: I20250327003289 |
| Provider Name | Hawo Haji Abdirahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134928435 PECOS PAC ID: 0840713053 Enrollment ID: I20250328001097 |
| Provider Name | Alphonso Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962039958 PECOS PAC ID: 8527489731 Enrollment ID: I20250328003254 |
| Provider Name | Iaroslav Kondriuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518583046 PECOS PAC ID: 4183047483 Enrollment ID: I20250331001938 |
| Provider Name | Richard Dunning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205523644 PECOS PAC ID: 1850751975 Enrollment ID: I20250403002457 |
| Provider Name | Dillon Scott Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891596334 PECOS PAC ID: 5395269039 Enrollment ID: I20250403002530 |
| Provider Name | Zahra Amir Sharifmohamed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447935341 PECOS PAC ID: 5496279531 Enrollment ID: I20250410000052 |
| Provider Name | Quintisha Marie Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376939793 PECOS PAC ID: 5597036392 Enrollment ID: I20250410001941 |
| Provider Name | Marinda Ramey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326768334 PECOS PAC ID: 6608246418 Enrollment ID: I20250410002211 |
| Provider Name | Roberto Fu Carrasco |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366068561 PECOS PAC ID: 3678990983 Enrollment ID: I20250415003028 |
| Provider Name | Sara Schaenzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528418142 PECOS PAC ID: 7719271444 Enrollment ID: I20250416001909 |
| Provider Name | Scott Lynn Stroming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275510554 PECOS PAC ID: 9436135761 Enrollment ID: I20250423002260 |
| Provider Name | Patrick Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083154140 PECOS PAC ID: 7517483951 Enrollment ID: I20250429000433 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760873400 PECOS PAC ID: 8123377728 Enrollment ID: I20250501000584 |
| Provider Name | Akayla Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700178720 PECOS PAC ID: 4385865229 Enrollment ID: I20250502001656 |
| Provider Name | Saleem Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730825423 PECOS PAC ID: 6507249638 Enrollment ID: I20250508001172 |
| Provider Name | Heather Michelle Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902617400 PECOS PAC ID: 0244757573 Enrollment ID: I20250509000541 |
| Provider Name | Sheryl King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760480305 PECOS PAC ID: 2769667716 Enrollment ID: I20250509001138 |
| Provider Name | Kyle Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528546678 PECOS PAC ID: 2860746955 Enrollment ID: I20250519000245 |
| Provider Name | Lukasz Kowalczyk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104913003 PECOS PAC ID: 1557555190 Enrollment ID: I20250519001001 |
| Provider Name | Alexandra Rehovsky-bennewitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750087912 PECOS PAC ID: 2668991134 Enrollment ID: I20250528001747 |
| Provider Name | Jaime Lynne Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699460535 PECOS PAC ID: 4385154004 Enrollment ID: I20250611000612 |
| Provider Name | Jennifer Paumen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881155364 PECOS PAC ID: 0547595456 Enrollment ID: I20250611000711 |
| Provider Name | Vicki Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730132010 PECOS PAC ID: 0941216543 Enrollment ID: I20250611000897 |
| Provider Name | Chaz Lasseigne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972781656 PECOS PAC ID: 2769569029 Enrollment ID: I20250611001106 |
| Provider Name | Megan Elizabeth Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972039881 PECOS PAC ID: 1557783511 Enrollment ID: I20250611001113 |
| Provider Name | Fredric Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952360190 PECOS PAC ID: 9638134091 Enrollment ID: I20250611001361 |
| Provider Name | Leslie a Cornwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447591821 PECOS PAC ID: 9931323375 Enrollment ID: I20250611001958 |
| Provider Name | Jeffrey Hallett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760499313 PECOS PAC ID: 9335278530 Enrollment ID: I20250611003515 |
| Provider Name | Jordan Wayne Handy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154129781 PECOS PAC ID: 9234649799 Enrollment ID: I20250612001498 |
| Provider Name | Janelle Marie Schenstad-hodgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972950715 PECOS PAC ID: 0941711766 Enrollment ID: I20250618000090 |
| Provider Name | Ambereen Alam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841483492 PECOS PAC ID: 6507281201 Enrollment ID: I20250618001255 |
| Provider Name | Marina J Wosmek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326932609 PECOS PAC ID: 5496267528 Enrollment ID: I20250625000294 |
| Provider Name | Wendy Herold Palastro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639462419 PECOS PAC ID: 4082838511 Enrollment ID: I20250625001477 |
| Provider Name | Aftin Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731860 PECOS PAC ID: 0941623896 Enrollment ID: I20250625001697 |
| Provider Name | Elishua Reingold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043054562 PECOS PAC ID: 7810435096 Enrollment ID: I20250625002197 |
| Provider Name | Kyle Richard Juraschka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033005608 PECOS PAC ID: 9335651058 Enrollment ID: I20250626001461 |
| Provider Name | Bethany Croyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194301754 PECOS PAC ID: 8729487236 Enrollment ID: I20250701001186 |
| Provider Name | Cassandra Heimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801539721 PECOS PAC ID: 9830571900 Enrollment ID: I20250701003972 |
| Provider Name | Jonah Pearson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639737752 PECOS PAC ID: 1254733686 Enrollment ID: I20250702003887 |
| Provider Name | Emily Magdeline Brinker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558073577 PECOS PAC ID: 6608389499 Enrollment ID: I20250703001834 |
| Provider Name | Ann M Renner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528709342 PECOS PAC ID: 8123406618 Enrollment ID: I20250708000488 |
| Provider Name | Nicole Treb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932095148 PECOS PAC ID: 7113431693 Enrollment ID: I20250708001330 |
| Provider Name | Bolanle Kasali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780320390 PECOS PAC ID: 2264803014 Enrollment ID: I20250708002348 |
| Provider Name | Mason Hinke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962143156 PECOS PAC ID: 3971017302 Enrollment ID: I20250708004373 |
| Provider Name | Anna Forberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407743701 PECOS PAC ID: 8325552607 Enrollment ID: I20250709001194 |
| Provider Name | Alex Lange |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740092790 PECOS PAC ID: 7810401114 Enrollment ID: I20250709001583 |
| Provider Name | Tririna Vue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144012378 PECOS PAC ID: 9133634173 Enrollment ID: I20250717001033 |
| Provider Name | Andrea Eisenschenk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578454468 PECOS PAC ID: 6709392921 Enrollment ID: I20250723001927 |
| Provider Name | Monazza Chaudhry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598326951 PECOS PAC ID: 6103151568 Enrollment ID: I20250723003051 |
| Provider Name | Safia Mohamed Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861131856 PECOS PAC ID: 8527575661 Enrollment ID: I20250724002739 |
| Provider Name | Lin Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063640217 PECOS PAC ID: 9335436013 Enrollment ID: I20250804001360 |
| Provider Name | Katrina Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497498455 PECOS PAC ID: 0749661197 Enrollment ID: I20250807001147 |
| Provider Name | Kendra Larrabee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881584720 PECOS PAC ID: 7012415813 Enrollment ID: I20250811003554 |
| Provider Name | Brianna Rae Palme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972249878 PECOS PAC ID: 9739687153 Enrollment ID: I20250813003195 |
| Provider Name | Mackenzie J Weis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104636547 PECOS PAC ID: 9335647767 Enrollment ID: I20250813003540 |
| Provider Name | Jennifer Brewer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134689003 PECOS PAC ID: 4688905714 Enrollment ID: I20250815000475 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639389745 PECOS PAC ID: 1658495346 Enrollment ID: I20250820001134 |
| Provider Name | Udit Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568753606 PECOS PAC ID: 9739327990 Enrollment ID: I20250820002089 |
| Provider Name | Robert Marcaccini |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972935583 PECOS PAC ID: 6103173935 Enrollment ID: I20250827000175 |
| Provider Name | Rachel Brothers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730681248 PECOS PAC ID: 8426313388 Enrollment ID: I20250901000059 |
| Provider Name | Emily Mary Bicknell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336039890 PECOS PAC ID: 0840792347 Enrollment ID: I20250904002969 |
| Provider Name | Lydia Travnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396006607 PECOS PAC ID: 6800198896 Enrollment ID: I20250910004389 |
| Provider Name | Gaurang Joshi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083101802 PECOS PAC ID: 4789034166 Enrollment ID: I20250912001551 |
| Provider Name | Orn-usa Boonprakong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164513917 PECOS PAC ID: 7012944861 Enrollment ID: I20250915001555 |
| Provider Name | Mohamed Ali Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265170435 PECOS PAC ID: 6204339294 Enrollment ID: I20250915001616 |
| Provider Name | Ashley Wittrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194305714 PECOS PAC ID: 5698299535 Enrollment ID: I20250918002706 |
| Provider Name | Michaela Strom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073003778 PECOS PAC ID: 8426301847 Enrollment ID: I20250918003473 |
| Provider Name | Sheridan Major-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073905121 PECOS PAC ID: 0840581153 Enrollment ID: I20250919002758 |
| Provider Name | Megan Sue Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891146569 PECOS PAC ID: 9032454467 Enrollment ID: I20250923000732 |
| Provider Name | Kathryn Marie Tschida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508613613 PECOS PAC ID: 0749785160 Enrollment ID: I20250926000303 |
| Provider Name | Jonathan Michael Werner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659262988 PECOS PAC ID: 8325543648 Enrollment ID: I20250926000460 |
| Provider Name | Grace Eiden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740048677 PECOS PAC ID: 5294231205 Enrollment ID: I20250930000736 |
| Provider Name | Harry Switow Saag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295096360 PECOS PAC ID: 6002105103 Enrollment ID: I20251002000608 |
| Provider Name | Jordan Shoen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750180055 PECOS PAC ID: 8628574290 Enrollment ID: I20251002000739 |
| Provider Name | Sumar Quint |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699353722 PECOS PAC ID: 9638579196 Enrollment ID: I20251002002542 |
| Provider Name | Arnold S Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487682514 PECOS PAC ID: 6901878800 Enrollment ID: I20251013000237 |
| Provider Name | Jodi Kay Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366315384 PECOS PAC ID: 5698262269 Enrollment ID: I20251016002206 |
| Provider Name | Teresina Josephine Schellinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386515849 PECOS PAC ID: 1759878226 Enrollment ID: I20251017000031 |
| Provider Name | Trecia Gulseth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164496683 PECOS PAC ID: 6709872468 Enrollment ID: I20251017001242 |
| Provider Name | Paiten Rask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306710280 PECOS PAC ID: 4385131721 Enrollment ID: I20251017001670 |
| Provider Name | Kendra a Christiansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871466938 PECOS PAC ID: 9335636778 Enrollment ID: I20251017001930 |
| Provider Name | Kayla Nachbar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164281028 PECOS PAC ID: 2769970938 Enrollment ID: I20251021000291 |
| Provider Name | Liz Damaris Vicente Berrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538033295 PECOS PAC ID: 5496244550 Enrollment ID: I20251029001585 |
| Provider Name | Dustyn Leff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124873740 PECOS PAC ID: 3779021282 Enrollment ID: I20251030002758 |
| Provider Name | Chase Jon Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265304919 PECOS PAC ID: 5294224929 Enrollment ID: I20251031001180 |
| Provider Name | David Henry Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598111882 PECOS PAC ID: 3072809474 Enrollment ID: I20251104003554 |
| Provider Name | Grace M Laudenbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740083989 PECOS PAC ID: 4486144458 Enrollment ID: I20251107001524 |
| Provider Name | Robert Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679534036 PECOS PAC ID: 5799671897 Enrollment ID: I20251110002451 |
| Provider Name | Joy Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558026526 PECOS PAC ID: 5092105494 Enrollment ID: I20251113000241 |
| Provider Name | Joyce Pilar Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538468129 PECOS PAC ID: 9931421955 Enrollment ID: I20251124003554 |
| Provider Name | Erica Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922496975 PECOS PAC ID: 7719207075 Enrollment ID: I20251205002120 |
| Provider Name | Hunter Kero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013878289 PECOS PAC ID: 4688167703 Enrollment ID: I20251205002498 |
| Provider Name | Abigail Grace Goforth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235092412 PECOS PAC ID: 2062908536 Enrollment ID: I20260105002345 |
| Provider Name | John Leschke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164798393 PECOS PAC ID: 4981923471 Enrollment ID: I20260106002190 |
| Provider Name | Amy Elizabeth Hilleren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922968130 PECOS PAC ID: 0547747214 Enrollment ID: I20260123001725 |
| Provider Name | Akrapa Seetalaratsamee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295698892 PECOS PAC ID: 6305324872 Enrollment ID: I20260128000444 |
| Provider Name | Heidi Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306712740 PECOS PAC ID: 8426536723 Enrollment ID: I20260128003914 |
| Provider Name | Casey Barkeim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003661646 PECOS PAC ID: 6507301462 Enrollment ID: I20260204001655 |
| Provider Name | Faith Wosmek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376401893 PECOS PAC ID: 7315426012 Enrollment ID: I20260211003495 |
| Provider Name | Bailey R Lochner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407612369 PECOS PAC ID: 1951881606 Enrollment ID: I20260212003798 |
| Provider Name | Denise Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811853971 PECOS PAC ID: 0446730253 Enrollment ID: I20260219000241 |
| Provider Name | Cody Charles Schumacher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790463727 PECOS PAC ID: 7315428380 Enrollment ID: I20260226004365 |
| Provider Name | Julia Rotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598618399 PECOS PAC ID: 2163905605 Enrollment ID: I20260312000966 |
| Provider Name | Kimone Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184106809 PECOS PAC ID: 2668710591 Enrollment ID: I20260320002028 |
| Provider Name | Estevao Pereira Ribeiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992437867 PECOS PAC ID: 9234614470 Enrollment ID: I20260326001100 |
| Provider Name | Chirag Pereira Chavda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023314655 PECOS PAC ID: 9638347370 Enrollment ID: I20260326003458 |
| Provider Name | Sara Gudrun St Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801734132 PECOS PAC ID: 8729563077 Enrollment ID: I20260403001373 |
| Provider Name | Learae Margaret Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508705047 PECOS PAC ID: 9234605429 Enrollment ID: I20260415002530 |
| Provider Name | Sriveer Kaasam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508206749 PECOS PAC ID: 3173843653 Enrollment ID: I20260420000107 |
| Provider Name | Tobias Donlon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295341048 PECOS PAC ID: 2466817341 Enrollment ID: I20260422002107 |
| Provider Name | Mitchell Dean Messman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841131430 PECOS PAC ID: 0648747428 Enrollment ID: I20260429002565 |
| Provider Name | Nilda Larios Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427992668 PECOS PAC ID: 7315414067 Enrollment ID: I20260430000541 |
| Provider Name | Pratik Velangi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134749427 PECOS PAC ID: 8628495439 Enrollment ID: I20260512001851 |
| Provider Name | Angela Lea Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427985993 PECOS PAC ID: 9638648660 Enrollment ID: I20260519002097 |
| Provider Name | Daniel Blatt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386110005 PECOS PAC ID: 1355765462 Enrollment ID: I20260608000318 |
| Provider Name | Alexandra Skovran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407542574 PECOS PAC ID: 5496113672 Enrollment ID: I20260608002155 |
| Provider Name | Adam Traen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477481208 PECOS PAC ID: 3971074196 Enrollment ID: I20260608003645 |
| Provider Name | Veronica Jo Chapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003744707 PECOS PAC ID: 5698246817 Enrollment ID: I20260608003695 |
| Provider Name | Lillian Grace Eklund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750211728 PECOS PAC ID: 2062984248 Enrollment ID: I20260618002353 |
| Provider Name | Abdelmoniem Moustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477937696 PECOS PAC ID: 3678878428 Enrollment ID: I20260623003723 |
Centracare - Plaza Clinic (internal Medicine) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Centracare Circle, Centracare Clinic Internal Medicine, St Cloud, MN 56303 Phone: 320-229-4928 |
Centracare Clinic - Lifestyle Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7009 |
Centra Care Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143 |
Simplicity Health Direct Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3290 42nd Avenue South, Suite 100, St Cloud, MN 56301 Phone: 320-267-1341 |