| Cg Medical Associates Inc | |
|
7300 Beechmont Ave Cincinnati OH 45230-4119 | |
| (513) 232-9100 | |
| (513) 232-3333 |
| Full Name | Cg Medical Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7300 Beechmont Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Chetan Gupta (CEO) |
| Authorized Official Contact | 5132329100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cg Medical Associates Inc 7300 Beechmont Ave Cincinnati OH 45230-4119 Ph: (513) 232-9100 | Cg Medical Associates Inc 7300 Beechmont Ave Cincinnati OH 45230-4119 Ph: (513) 232-9100 |
| NPI Number | 1982903951 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 6608052196 |
|---|---|
| Medicare Enrollment ID | O20110518000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982903951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35094424 (Ohio) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 35094424 (Ohio) | Primary |
| Provider Name | Shannon Grubb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427040534 PECOS PAC ID: 4981592037 Enrollment ID: I20040309001117 |
| Provider Name | John Pressler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043317191 PECOS PAC ID: 2668458902 Enrollment ID: I20040628000030 |
| Provider Name | Kwabena Owusu Oteng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811933369 PECOS PAC ID: 0042265050 Enrollment ID: I20050312000097 |
| Provider Name | Toni D Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821047473 PECOS PAC ID: 1355374471 Enrollment ID: I20060227000332 |
| Provider Name | Olivia Ann Ferrari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245205657 PECOS PAC ID: 5991889396 Enrollment ID: I20080225000115 |
| Provider Name | Sandy M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871685792 PECOS PAC ID: 3577622513 Enrollment ID: I20081106000183 |
| Provider Name | Patty S Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679779904 PECOS PAC ID: 8426115130 Enrollment ID: I20090325000333 |
| Provider Name | Chetan Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932228129 PECOS PAC ID: 0345380887 Enrollment ID: I20091215000191 |
| Provider Name | Karen Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346449642 PECOS PAC ID: 7012050982 Enrollment ID: I20100202000096 |
| Provider Name | Caleb O Molokwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053573824 PECOS PAC ID: 0244375392 Enrollment ID: I20100301000946 |
| Provider Name | Jennifer L Hyrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194958439 PECOS PAC ID: 5294865184 Enrollment ID: I20100706000075 |
| Provider Name | John David Molesky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538274212 PECOS PAC ID: 6204021488 Enrollment ID: I20101112001108 |
| Provider Name | Edwin P Staat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275558934 PECOS PAC ID: 8820279623 Enrollment ID: I20110228000497 |
| Provider Name | Mark David Pinkerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437138328 PECOS PAC ID: 5193812980 Enrollment ID: I20110610000438 |
| Provider Name | Rick L Hum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063780799 PECOS PAC ID: 1658538582 Enrollment ID: I20120206000259 |
| Provider Name | John J Pauls |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447210414 PECOS PAC ID: 5395909931 Enrollment ID: I20120612000501 |
| Provider Name | Luke A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869905 PECOS PAC ID: 4183873243 Enrollment ID: I20121004000389 |
| Provider Name | Tiana Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295085165 PECOS PAC ID: 9436300969 Enrollment ID: I20121110000059 |
| Provider Name | Tamara F Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346682010 PECOS PAC ID: 6709029176 Enrollment ID: I20130904000445 |
| Provider Name | Kimberley D Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679914832 PECOS PAC ID: 2062639610 Enrollment ID: I20140806000430 |
| Provider Name | Lisa K Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093129041 PECOS PAC ID: 8628295540 Enrollment ID: I20140815001491 |
| Provider Name | West Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423401 PECOS PAC ID: 6002042918 Enrollment ID: I20140918001644 |
| Provider Name | Alpa Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255776035 PECOS PAC ID: 5395966378 Enrollment ID: I20141015002050 |
| Provider Name | Lillian Lillian Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750360632 PECOS PAC ID: 1557349370 Enrollment ID: I20141112000551 |
| Provider Name | Helina Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871999763 PECOS PAC ID: 8820313026 Enrollment ID: I20150210002469 |
| Provider Name | Angela Nichol Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438409 PECOS PAC ID: 8224354006 Enrollment ID: I20150313002040 |
| Provider Name | Jennifer H Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558499 PECOS PAC ID: 0143547901 Enrollment ID: I20150316002725 |
| Provider Name | Mary M Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450293 PECOS PAC ID: 1254659071 Enrollment ID: I20150407001885 |
| Provider Name | Shri K Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124130349 PECOS PAC ID: 4385604388 Enrollment ID: I20150504001864 |
| Provider Name | Melissa G Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330228 PECOS PAC ID: 0648591693 Enrollment ID: I20150603001226 |
| Provider Name | Amanda Bohannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356723902 PECOS PAC ID: 3375856891 Enrollment ID: I20150713002146 |
| Provider Name | Cassie L Shipp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235499633 PECOS PAC ID: 7810202728 Enrollment ID: I20150820010850 |
| Provider Name | Genessa L Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962804716 PECOS PAC ID: 3375764376 Enrollment ID: I20150925000778 |
| Provider Name | Julie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313109 PECOS PAC ID: 3173832797 Enrollment ID: I20151022001132 |
| Provider Name | Lindsay R George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755288 PECOS PAC ID: 9436459682 Enrollment ID: I20151120000220 |
| Provider Name | Porothea L Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771673 PECOS PAC ID: 8820399058 Enrollment ID: I20151214000680 |
| Provider Name | Ashley K Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619373545 PECOS PAC ID: 6002117025 Enrollment ID: I20151216002902 |
| Provider Name | Megan Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659733244 PECOS PAC ID: 0244539013 Enrollment ID: I20160429000350 |
| Provider Name | Allison Paige Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003278987 PECOS PAC ID: 7810286879 Enrollment ID: I20160513001042 |
| Provider Name | Elizabeth C Matre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366899486 PECOS PAC ID: 6800187956 Enrollment ID: I20160620001925 |
| Provider Name | Christy Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083062277 PECOS PAC ID: 5597056317 Enrollment ID: I20160624000607 |
| Provider Name | James L Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679920425 PECOS PAC ID: 7810289188 Enrollment ID: I20160706001780 |
| Provider Name | Katherine Lynn Korst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881147577 PECOS PAC ID: 9638466527 Enrollment ID: I20160920002402 |
| Provider Name | Chantia Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790156875 PECOS PAC ID: 9739476516 Enrollment ID: I20160921002508 |
| Provider Name | Sue Ann Judah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740730241 PECOS PAC ID: 8325327364 Enrollment ID: I20161116000717 |
| Provider Name | Krista D Joehnk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063967727 PECOS PAC ID: 7719266683 Enrollment ID: I20161116002277 |
| Provider Name | Tricia Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013467687 PECOS PAC ID: 3476832320 Enrollment ID: I20161205001672 |
| Provider Name | Robert H Bogli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033521653 PECOS PAC ID: 7315266400 Enrollment ID: I20170126002404 |
| Provider Name | Kathleen M Ferrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225585573 PECOS PAC ID: 6204119951 Enrollment ID: I20170203001539 |
| Provider Name | Amy Lee Kinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649717398 PECOS PAC ID: 4587947684 Enrollment ID: I20170216000134 |
| Provider Name | Gina R Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659821973 PECOS PAC ID: 3779867817 Enrollment ID: I20170308002802 |
| Provider Name | Jennifer J Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356437016 PECOS PAC ID: 7911971718 Enrollment ID: I20170427002724 |
| Provider Name | Larry M Isaacs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346227568 PECOS PAC ID: 4082686274 Enrollment ID: I20170609001299 |
| Provider Name | Marjorie Georgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609396704 PECOS PAC ID: 3577832757 Enrollment ID: I20170630002106 |
| Provider Name | Kristen M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277784 PECOS PAC ID: 8325319031 Enrollment ID: I20170728002679 |
| Provider Name | Stephanie A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465325 PECOS PAC ID: 5597032466 Enrollment ID: I20170831003141 |
| Provider Name | John P Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134583248 PECOS PAC ID: 8628342276 Enrollment ID: I20170920000798 |
| Provider Name | Lisa M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321813 PECOS PAC ID: 1850666488 Enrollment ID: I20171009001276 |
| Provider Name | Susamma J Pappachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558718197 PECOS PAC ID: 9638444862 Enrollment ID: I20171013001153 |
| Provider Name | Michelle N Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574982 PECOS PAC ID: 2466728589 Enrollment ID: I20171017003296 |
| Provider Name | Allysia R Billow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306292909 PECOS PAC ID: 7416223870 Enrollment ID: I20171030003280 |
| Provider Name | Emily B Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489481 PECOS PAC ID: 5890051742 Enrollment ID: I20171108002292 |
| Provider Name | Sharon Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992217715 PECOS PAC ID: 3971860479 Enrollment ID: I20171207001534 |
| Provider Name | Veena H Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945717 PECOS PAC ID: 3476811993 Enrollment ID: I20171211000800 |
| Provider Name | Christina M Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053610261 PECOS PAC ID: 9335413152 Enrollment ID: I20180103003060 |
| Provider Name | Lindsay Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114434644 PECOS PAC ID: 3678832599 Enrollment ID: I20180122001295 |
| Provider Name | Jaimee Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346758729 PECOS PAC ID: 7911267422 Enrollment ID: I20180201000383 |
| Provider Name | Lindsey E Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982111365 PECOS PAC ID: 6800156316 Enrollment ID: I20180201000525 |
| Provider Name | Roslyn J Kocsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477913648 PECOS PAC ID: 7012215692 Enrollment ID: I20180205002438 |
| Provider Name | Grace Ssali Joanita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033646088 PECOS PAC ID: 3274894670 Enrollment ID: I20180227003015 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730680729 PECOS PAC ID: 7113288168 Enrollment ID: I20180307002657 |
| Provider Name | Heather M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184125536 PECOS PAC ID: 2668733619 Enrollment ID: I20180307002686 |
| Provider Name | Jennifer Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447752837 PECOS PAC ID: 6103188503 Enrollment ID: I20180323000494 |
| Provider Name | Mary Np Sharpshair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558863860 PECOS PAC ID: 4284996687 Enrollment ID: I20180323000513 |
| Provider Name | Amanda D Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174026025 PECOS PAC ID: 9032473897 Enrollment ID: I20180502000368 |
| Provider Name | James Michael Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508354689 PECOS PAC ID: 2163787334 Enrollment ID: I20180518000515 |
| Provider Name | Shudonica Garlington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841434453 PECOS PAC ID: 1951666403 Enrollment ID: I20180604001317 |
| Provider Name | Michelle Renae West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790283570 PECOS PAC ID: 0941555320 Enrollment ID: I20180626003398 |
| Provider Name | Anne Vaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104145762 PECOS PAC ID: 2163609637 Enrollment ID: I20180725003405 |
| Provider Name | Fatima Aisha Torain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093207623 PECOS PAC ID: 4981953155 Enrollment ID: I20180821002636 |
| Provider Name | Jillian J Bizzarri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336645753 PECOS PAC ID: 2365791415 Enrollment ID: I20180822001901 |
| Provider Name | Matthew T Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528571254 PECOS PAC ID: 8921359506 Enrollment ID: I20180920001367 |
| Provider Name | Christine Coons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831679174 PECOS PAC ID: 1658622238 Enrollment ID: I20180920001382 |
| Provider Name | Rian Kyles-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114407061 PECOS PAC ID: 5294086476 Enrollment ID: I20180927000926 |
| Provider Name | Chukwudi Oduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114289501 PECOS PAC ID: 6608129986 Enrollment ID: I20181102002513 |
| Provider Name | Breanna L Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104308758 PECOS PAC ID: 1052665130 Enrollment ID: I20181107002775 |
| Provider Name | Michelle Lee Debacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932678489 PECOS PAC ID: 4880938703 Enrollment ID: I20181204002647 |
| Provider Name | Andrea Brunacini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538637731 PECOS PAC ID: 2264776061 Enrollment ID: I20181205002111 |
| Provider Name | Janet Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871077511 PECOS PAC ID: 5092069443 Enrollment ID: I20181213001693 |
| Provider Name | Samantha Nicole Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912411588 PECOS PAC ID: 8123363371 Enrollment ID: I20181217002923 |
| Provider Name | Regina G Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558651323 PECOS PAC ID: 6608111562 Enrollment ID: I20181220001860 |
| Provider Name | Amanda M Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053883751 PECOS PAC ID: 1052657475 Enrollment ID: I20190107000959 |
| Provider Name | Rachael M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740758804 PECOS PAC ID: 1557608114 Enrollment ID: I20190122000568 |
| Provider Name | Paridhi Gokhale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887422 PECOS PAC ID: 2961741061 Enrollment ID: I20190307002164 |
| Provider Name | Ashley N Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205352465 PECOS PAC ID: 2860765625 Enrollment ID: I20190311002261 |
| Provider Name | Rebecca A Boatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508326042 PECOS PAC ID: 6608117122 Enrollment ID: I20190410002534 |
| Provider Name | Melissa A Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194281139 PECOS PAC ID: 5294076675 Enrollment ID: I20190411002707 |
| Provider Name | Jon Philip Hautzenroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205300886 PECOS PAC ID: 0840524203 Enrollment ID: I20190619001439 |
| Provider Name | Quan James Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689149809 PECOS PAC ID: 5698009835 Enrollment ID: I20190621002712 |
| Provider Name | Jamie A Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235794439 PECOS PAC ID: 6002142627 Enrollment ID: I20190719000822 |
| Provider Name | Maria Christina Diener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942796503 PECOS PAC ID: 0244567790 Enrollment ID: I20190807001157 |
| Provider Name | Vivian Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194373084 PECOS PAC ID: 9436489549 Enrollment ID: I20191002001571 |
| Provider Name | Melissa Dawn Sturtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675970 PECOS PAC ID: 0244561777 Enrollment ID: I20191014002021 |
| Provider Name | Jessica Marie Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104314566 PECOS PAC ID: 7214268747 Enrollment ID: I20191014002144 |
| Provider Name | Rebecca Fleissner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285162958 PECOS PAC ID: 8123396413 Enrollment ID: I20191024001212 |
| Provider Name | Kayla Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183170 PECOS PAC ID: 4183956717 Enrollment ID: I20191030003026 |
| Provider Name | Julie Iler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821566183 PECOS PAC ID: 4981936523 Enrollment ID: I20191030003111 |
| Provider Name | Lirong Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744341 PECOS PAC ID: 0345672580 Enrollment ID: I20191108002864 |
| Provider Name | Jordyn Mandle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407419898 PECOS PAC ID: 9032542378 Enrollment ID: I20191127001453 |
| Provider Name | Miral Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174018972 PECOS PAC ID: 5799034765 Enrollment ID: I20191127001585 |
| Provider Name | Sukhween Kaur Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285285924 PECOS PAC ID: 9133553480 Enrollment ID: I20191219002786 |
| Provider Name | Mayory Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447896568 PECOS PAC ID: 3870927858 Enrollment ID: I20191227002021 |
| Provider Name | Kathleen Schalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851938948 PECOS PAC ID: 2466886171 Enrollment ID: I20200103002061 |
| Provider Name | Melissa Annmarie Geyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407493661 PECOS PAC ID: 1052745619 Enrollment ID: I20200107002927 |
| Provider Name | Samantha Dimeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841840071 PECOS PAC ID: 4688009160 Enrollment ID: I20200109001907 |
| Provider Name | Megan A Balbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235785056 PECOS PAC ID: 8729413042 Enrollment ID: I20200115000586 |
| Provider Name | Tera Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20200116000675 |
| Provider Name | Cheryl Anntoinette Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801157490 PECOS PAC ID: 8628403847 Enrollment ID: I20200116001898 |
| Provider Name | Mary Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184262479 PECOS PAC ID: 4284069113 Enrollment ID: I20200122002506 |
| Provider Name | Catherine Northup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407486897 PECOS PAC ID: 2264869445 Enrollment ID: I20200227002719 |
| Provider Name | Cristina Michelle Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558900431 PECOS PAC ID: 0143657353 Enrollment ID: I20200228001015 |
| Provider Name | Abigail Joanne Storrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831722743 PECOS PAC ID: 0840628079 Enrollment ID: I20200320002457 |
| Provider Name | Jennifer Yvonne Hough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720584105 PECOS PAC ID: 6204264310 Enrollment ID: I20200323002686 |
| Provider Name | Alicia Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316572761 PECOS PAC ID: 5890123855 Enrollment ID: I20200325002277 |
| Provider Name | Jill Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043860885 PECOS PAC ID: 9830528827 Enrollment ID: I20200326000234 |
| Provider Name | Lisa A Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184257206 PECOS PAC ID: 9537598560 Enrollment ID: I20200326001972 |
| Provider Name | Kelcy Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376176784 PECOS PAC ID: 3072942499 Enrollment ID: I20200407000955 |
| Provider Name | Halley Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563051 PECOS PAC ID: 3870922123 Enrollment ID: I20200407003306 |
| Provider Name | Megan Lynne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073166450 PECOS PAC ID: 2264861368 Enrollment ID: I20200409003000 |
| Provider Name | Aaron Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699303735 PECOS PAC ID: 2264863240 Enrollment ID: I20200506002066 |
| Provider Name | Erin Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491123 PECOS PAC ID: 6507287034 Enrollment ID: I20200609000536 |
| Provider Name | Amanda Marie Dawicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160200 PECOS PAC ID: 7214352814 Enrollment ID: I20200729003486 |
| Provider Name | Chelsey Hershfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053853929 PECOS PAC ID: 1759706351 Enrollment ID: I20200729003568 |
| Provider Name | Ashley R Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033737085 PECOS PAC ID: 2466878947 Enrollment ID: I20200813003416 |
| Provider Name | Stawa Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073126314 PECOS PAC ID: 2062839350 Enrollment ID: I20200901002566 |
| Provider Name | Rieko Sotojima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427674142 PECOS PAC ID: 8325466196 Enrollment ID: I20200910000709 |
| Provider Name | Jeffrey James Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112413 PECOS PAC ID: 9931528577 Enrollment ID: I20200930002292 |
| Provider Name | Miranda Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336782093 PECOS PAC ID: 3375962871 Enrollment ID: I20201002000683 |
| Provider Name | Alison Sturgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534005 PECOS PAC ID: 1052731478 Enrollment ID: I20201022003927 |
| Provider Name | Christina M Marot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285233809 PECOS PAC ID: 0547670630 Enrollment ID: I20201030000857 |
| Provider Name | Suzanne Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967978 PECOS PAC ID: 7113337254 Enrollment ID: I20201102000814 |
| Provider Name | Lauren Elizabeth Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942809033 PECOS PAC ID: 9931519659 Enrollment ID: I20201109003188 |
| Provider Name | Sarah Taylor Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023624814 PECOS PAC ID: 8921418591 Enrollment ID: I20201110002562 |
| Provider Name | Carrie Elizabeth Landes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023579463 PECOS PAC ID: 8729499090 Enrollment ID: I20201118002003 |
| Provider Name | Michael Villasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710482963 PECOS PAC ID: 6709140213 Enrollment ID: I20201208003041 |
| Provider Name | Sarah Elizabeth Carder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194321182 PECOS PAC ID: 1557773801 Enrollment ID: I20201210002345 |
| Provider Name | Erin Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891383840 PECOS PAC ID: 0042623266 Enrollment ID: I20210107002280 |
| Provider Name | Jennifer Leigh Speller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346854486 PECOS PAC ID: 7618380726 Enrollment ID: I20210111001408 |
| Provider Name | Taylor Dawn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917540 PECOS PAC ID: 3870906993 Enrollment ID: I20210111001512 |
| Provider Name | Alex M Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735188 PECOS PAC ID: 7911259544 Enrollment ID: I20210120002387 |
| Provider Name | Muna Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336745108 PECOS PAC ID: 7416361191 Enrollment ID: I20210121001370 |
| Provider Name | Brook Batey-heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861080939 PECOS PAC ID: 0648684605 Enrollment ID: I20210202002978 |
| Provider Name | Melissa A Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043855661 PECOS PAC ID: 7517372949 Enrollment ID: I20210217002448 |
| Provider Name | Michelle Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579206 PECOS PAC ID: 8426464702 Enrollment ID: I20210311000700 |
| Provider Name | Angelina Nicole Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114526662 PECOS PAC ID: 4880001874 Enrollment ID: I20210317002636 |
| Provider Name | Cameron Rachelle Munafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275119174 PECOS PAC ID: 6901213602 Enrollment ID: I20210324003321 |
| Provider Name | Whitney Ann Gallaher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487289591 PECOS PAC ID: 6608283882 Enrollment ID: I20210406001748 |
| Provider Name | Danya Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609405224 PECOS PAC ID: 1658794938 Enrollment ID: I20210415002285 |
| Provider Name | Carol Sue Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575436 PECOS PAC ID: 2466860143 Enrollment ID: I20210419000341 |
| Provider Name | Jessica Lynn Otis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922688092 PECOS PAC ID: 4587072210 Enrollment ID: I20210419002546 |
| Provider Name | Carole Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982280913 PECOS PAC ID: 4284042847 Enrollment ID: I20210420000954 |
| Provider Name | Tamara M. Barlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831771336 PECOS PAC ID: 0648689489 Enrollment ID: I20210507002341 |
| Provider Name | Jessica Ann Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013535251 PECOS PAC ID: 7810306594 Enrollment ID: I20210510001627 |
| Provider Name | Charlene Talison Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635584 PECOS PAC ID: 9830508373 Enrollment ID: I20210512003091 |
| Provider Name | Maki Fukunishi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700467867 PECOS PAC ID: 5395144927 Enrollment ID: I20210601002001 |
| Provider Name | Samantha Elaine Wiesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205401270 PECOS PAC ID: 2567861164 Enrollment ID: I20210602001799 |
| Provider Name | Quinesha Dinkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307942 PECOS PAC ID: 5991106718 Enrollment ID: I20210630000814 |
| Provider Name | Mary Guilfoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986499 PECOS PAC ID: 4587065461 Enrollment ID: I20210630004248 |
| Provider Name | Christina Sherrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437729324 PECOS PAC ID: 3577965854 Enrollment ID: I20210708002757 |
| Provider Name | Jennie Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831134 PECOS PAC ID: 2769884733 Enrollment ID: I20210713003373 |
| Provider Name | Portia Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104497312 PECOS PAC ID: 0143623512 Enrollment ID: I20210722001037 |
| Provider Name | Inna L Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063076412 PECOS PAC ID: 1951706704 Enrollment ID: I20210817004033 |
| Provider Name | Peggy D Gildenblatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944919 PECOS PAC ID: 0840695565 Enrollment ID: I20210818003004 |
| Provider Name | Rebecca Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891368833 PECOS PAC ID: 3577968213 Enrollment ID: I20210818004117 |
| Provider Name | Stephanie A Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104495928 PECOS PAC ID: 5294130894 Enrollment ID: I20210819002465 |
| Provider Name | Caitlyn Schlie Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610819 PECOS PAC ID: 4688079122 Enrollment ID: I20210823001204 |
| Provider Name | Maria Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063084754 PECOS PAC ID: 4688070501 Enrollment ID: I20210901001109 |
| Provider Name | Emily Huber Jessie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066385 PECOS PAC ID: 6305242025 Enrollment ID: I20210903002370 |
| Provider Name | Lisa Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848176 PECOS PAC ID: 3476950809 Enrollment ID: I20210927003208 |
| Provider Name | Megan Reiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801480363 PECOS PAC ID: 1052719648 Enrollment ID: I20211012003347 |
| Provider Name | Briana Mccaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548839921 PECOS PAC ID: 6406244508 Enrollment ID: I20211021003095 |
| Provider Name | Stephanie Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245901560 PECOS PAC ID: 0143618140 Enrollment ID: I20211025001466 |
| Provider Name | Sherri Renea Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518631431 PECOS PAC ID: 3678961315 Enrollment ID: I20211028002094 |
| Provider Name | Adebola Adegbile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699153106 PECOS PAC ID: 1951790369 Enrollment ID: I20211104003117 |
| Provider Name | Tina Rish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215502315 PECOS PAC ID: 9931598265 Enrollment ID: I20211108001783 |
| Provider Name | Qushun Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801569439 PECOS PAC ID: 1153710496 Enrollment ID: I20211108002503 |
| Provider Name | Sarah Awwad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174293591 PECOS PAC ID: 7517355183 Enrollment ID: I20211206002468 |
| Provider Name | Rose Mondoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548693807 PECOS PAC ID: 0345656351 Enrollment ID: I20211209000660 |
| Provider Name | Rachel L Stuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154087781 PECOS PAC ID: 3779974290 Enrollment ID: I20211216002846 |
| Provider Name | Gregory Bellanca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164710414 PECOS PAC ID: 7517243777 Enrollment ID: I20211221002416 |
| Provider Name | Vanetta Scandrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194004655 PECOS PAC ID: 3274924410 Enrollment ID: I20211227000676 |
| Provider Name | Lacy Enneking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003578170 PECOS PAC ID: 8527459627 Enrollment ID: I20211228001942 |
| Provider Name | Leslie Susan Secrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740945740 PECOS PAC ID: 4082005020 Enrollment ID: I20211229001244 |
| Provider Name | Amanda Purnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063178119 PECOS PAC ID: 8729479787 Enrollment ID: I20211229002041 |
| Provider Name | Allison Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043989577 PECOS PAC ID: 7517359771 Enrollment ID: I20220120000089 |
| Provider Name | Antonia Sue Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356763593 PECOS PAC ID: 3779975842 Enrollment ID: I20220121002409 |
| Provider Name | Christopher M Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629650189 PECOS PAC ID: 9931592961 Enrollment ID: I20220215001186 |
| Provider Name | Lydiah B Caterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208389 PECOS PAC ID: 6507259439 Enrollment ID: I20220216002890 |
| Provider Name | Alisha Diane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396404430 PECOS PAC ID: 6608260229 Enrollment ID: I20220224002893 |
| Provider Name | April J Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538731724 PECOS PAC ID: 6507250131 Enrollment ID: I20220224003002 |
| Provider Name | Brenda Mastin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053742783 PECOS PAC ID: 9436382066 Enrollment ID: I20220304001389 |
| Provider Name | Toya Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780194910 PECOS PAC ID: 9436544673 Enrollment ID: I20220324002014 |
| Provider Name | Taiwo Iyabo Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366100554 PECOS PAC ID: 2264828052 Enrollment ID: I20220404001449 |
| Provider Name | Gwen Corboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780330126 PECOS PAC ID: 1951797398 Enrollment ID: I20220411002632 |
| Provider Name | Marian Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336728195 PECOS PAC ID: 5698161867 Enrollment ID: I20220415001111 |
| Provider Name | Lauren N Uttam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154088151 PECOS PAC ID: 9638566821 Enrollment ID: I20220418000724 |
| Provider Name | Ashley Elizabeth Citron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619625886 PECOS PAC ID: 1456748342 Enrollment ID: I20220422001999 |
| Provider Name | Audia C Tanui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437810843 PECOS PAC ID: 7719374404 Enrollment ID: I20220427002524 |
| Provider Name | Priscilla Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007371 PECOS PAC ID: 7012304413 Enrollment ID: I20220504001537 |
| Provider Name | Matilda Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699074252 PECOS PAC ID: 5193102713 Enrollment ID: I20220519001111 |
| Provider Name | Mamadou Salieu Jallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518457910 PECOS PAC ID: 0446638290 Enrollment ID: I20220607000690 |
| Provider Name | Arthur Freeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275277006 PECOS PAC ID: 1658759188 Enrollment ID: I20220611000050 |
| Provider Name | Whitney Rachel Botner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275265621 PECOS PAC ID: 7012398472 Enrollment ID: I20220715001405 |
| Provider Name | Grace Anne Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316685282 PECOS PAC ID: 5496137036 Enrollment ID: I20220729000731 |
| Provider Name | Anitra M Niece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023606944 PECOS PAC ID: 9234534363 Enrollment ID: I20220802002533 |
| Provider Name | Alissa Lenae Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225767452 PECOS PAC ID: 7113300237 Enrollment ID: I20220822002843 |
| Provider Name | Elizabeth Federle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588398093 PECOS PAC ID: 1951784073 Enrollment ID: I20220823000947 |
| Provider Name | Jill Evers-bunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649998451 PECOS PAC ID: 3375928245 Enrollment ID: I20220913001479 |
| Provider Name | Pratibha Nigam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750663993 PECOS PAC ID: 5395120224 Enrollment ID: I20220913003910 |
| Provider Name | Mabel Efua Okoh Okai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477274074 PECOS PAC ID: 9830567213 Enrollment ID: I20221115003013 |
| Provider Name | Sabrina Lynn Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467754457 PECOS PAC ID: 5294103503 Enrollment ID: I20221117001236 |
| Provider Name | Sarah Wylds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336862754 PECOS PAC ID: 5991173205 Enrollment ID: I20221117001409 |
| Provider Name | Akilah Toni-anne Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487370383 PECOS PAC ID: 0345618344 Enrollment ID: I20221123000650 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20221129003091 |
| Provider Name | Katherine Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669140679 PECOS PAC ID: 6800265356 Enrollment ID: I20221206001530 |
| Provider Name | Anjana Benjamin Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619615747 PECOS PAC ID: 0547630915 Enrollment ID: I20221228002865 |
| Provider Name | Stephanie Lashae Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196648 PECOS PAC ID: 9335510874 Enrollment ID: I20230120001395 |
| Provider Name | Amanda Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922718949 PECOS PAC ID: 0547631954 Enrollment ID: I20230123002138 |
| Provider Name | Krystal Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881021590 PECOS PAC ID: 8527284561 Enrollment ID: I20230127001120 |
| Provider Name | Casey Jordan Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205547486 PECOS PAC ID: 2264804723 Enrollment ID: I20230209000263 |
| Provider Name | Lacey Cathlene Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518679695 PECOS PAC ID: 2668844101 Enrollment ID: I20230210000534 |
| Provider Name | Shelby Gonsales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780081224 PECOS PAC ID: 5799157780 Enrollment ID: I20230221002755 |
| Provider Name | Myungsun Lipthratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395641 PECOS PAC ID: 2466825054 Enrollment ID: I20230301002103 |
| Provider Name | Kathleen B Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902503444 PECOS PAC ID: 1052785284 Enrollment ID: I20230329002525 |
| Provider Name | Tonya Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235872268 PECOS PAC ID: 5698140895 Enrollment ID: I20230330002702 |
| Provider Name | Britney Kay Regon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295436376 PECOS PAC ID: 2860867835 Enrollment ID: I20230404001958 |
| Provider Name | Summer Marie Trenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326674391 PECOS PAC ID: 7719394188 Enrollment ID: I20230424001088 |
| Provider Name | Kellie Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417671470 PECOS PAC ID: 0648636720 Enrollment ID: I20230515003355 |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275126617 PECOS PAC ID: 9234537820 Enrollment ID: I20230619000551 |
| Provider Name | Julie Ann Elzey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821785312 PECOS PAC ID: 0446618110 Enrollment ID: I20230628001596 |
| Provider Name | Scott Douglas Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053981647 PECOS PAC ID: 6406254952 Enrollment ID: I20230905002938 |
| Provider Name | Abigail Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760266035 PECOS PAC ID: 7315301272 Enrollment ID: I20230911001993 |
| Provider Name | Mohieddin Kebab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912520792 PECOS PAC ID: 0547631368 Enrollment ID: I20230911003133 |
| Provider Name | Mammietta O Darko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891485801 PECOS PAC ID: 4183078298 Enrollment ID: I20230922002925 |
| Provider Name | Kelsey Ketchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053001412 PECOS PAC ID: 8123472909 Enrollment ID: I20230927003231 |
| Provider Name | Shannon Denise Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144003666 PECOS PAC ID: 9234583659 Enrollment ID: I20231003002797 |
| Provider Name | Leslie Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568135275 PECOS PAC ID: 5698121127 Enrollment ID: I20231019002356 |
| Provider Name | Matthew Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336494772 PECOS PAC ID: 7315230745 Enrollment ID: I20231019002459 |
| Provider Name | Valentina Borisovna Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598541849 PECOS PAC ID: 6608222005 Enrollment ID: I20231020001653 |
| Provider Name | Magdalene Marie Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336921386 PECOS PAC ID: 1658728621 Enrollment ID: I20231113002362 |
| Provider Name | Deanna Marie Persiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396518965 PECOS PAC ID: 8628426228 Enrollment ID: I20231120002970 |
| Provider Name | December Noel Pennekamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417729583 PECOS PAC ID: 1254789175 Enrollment ID: I20231201002422 |
| Provider Name | Esther Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376973024 PECOS PAC ID: 2860842432 Enrollment ID: I20231221003323 |
| Provider Name | Sharon Siaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174984991 PECOS PAC ID: 9335591833 Enrollment ID: I20240120000167 |
| Provider Name | Estherlinda Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740051721 PECOS PAC ID: 6103261029 Enrollment ID: I20240301002494 |
| Provider Name | Elmira Chukadze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801589619 PECOS PAC ID: 9931544756 Enrollment ID: I20240301002811 |
| Provider Name | Kene Fall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033989512 PECOS PAC ID: 6204271034 Enrollment ID: I20240301003193 |
| Provider Name | Kirby Buerkley Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093182180 PECOS PAC ID: 2668754813 Enrollment ID: I20240320002051 |
| Provider Name | Kelli Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891942207 PECOS PAC ID: 9638538713 Enrollment ID: I20240412003555 |
| Provider Name | Marlo James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902670607 PECOS PAC ID: 9638518335 Enrollment ID: I20240415001026 |
| Provider Name | Shimmaine Monique Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144839374 PECOS PAC ID: 5496194532 Enrollment ID: I20240422002655 |
| Provider Name | Ciara Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063266617 PECOS PAC ID: 5193167179 Enrollment ID: I20240522001289 |
| Provider Name | Melanie Mcnamee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962954628 PECOS PAC ID: 9032551734 Enrollment ID: I20240528000291 |
| Provider Name | Cynthia Annette Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306687652 PECOS PAC ID: 7618411364 Enrollment ID: I20240705000364 |
| Provider Name | Ami Shreyash Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710720529 PECOS PAC ID: 1557807146 Enrollment ID: I20240729001885 |
| Provider Name | Nicole Dyan King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654940 PECOS PAC ID: 8628514494 Enrollment ID: I20240729003078 |
| Provider Name | Latresha Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045633 PECOS PAC ID: 4082151329 Enrollment ID: I20240803000358 |
| Provider Name | Zoe Jade Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255193041 PECOS PAC ID: 0547709446 Enrollment ID: I20240822004368 |
| Provider Name | Amanda Joy Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154815736 PECOS PAC ID: 5597204842 Enrollment ID: I20240829004396 |
| Provider Name | Faith Samaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740407287 PECOS PAC ID: 8123308442 Enrollment ID: I20240910002374 |
| Provider Name | Suellen Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720848187 PECOS PAC ID: 5496295727 Enrollment ID: I20240912002742 |
| Provider Name | Iverte Ulle Njume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811726870 PECOS PAC ID: 9638610827 Enrollment ID: I20240916000254 |
| Provider Name | Montray Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053091199 PECOS PAC ID: 6709233562 Enrollment ID: I20240917000341 |
| Provider Name | Lauren A Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053149849 PECOS PAC ID: 6709317258 Enrollment ID: I20241008002138 |
| Provider Name | Shannon Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306694286 PECOS PAC ID: 6901338342 Enrollment ID: I20241010001377 |
| Provider Name | Morgan Daleann Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144055690 PECOS PAC ID: 9335671783 Enrollment ID: I20241010002021 |
| Provider Name | Michele C Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225863954 PECOS PAC ID: 3678005287 Enrollment ID: I20241021000316 |
| Provider Name | Cory Lynn Marschall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881412641 PECOS PAC ID: 8325571680 Enrollment ID: I20241025001415 |
| Provider Name | Sushila Mishra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215756721 PECOS PAC ID: 5597298489 Enrollment ID: I20241030003847 |
| Provider Name | Mollie Marie Trupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861228504 PECOS PAC ID: 5597298323 Enrollment ID: I20241031001548 |
| Provider Name | Kimberly D Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811718364 PECOS PAC ID: 6901330505 Enrollment ID: I20241105001300 |
| Provider Name | John Thomas Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679390611 PECOS PAC ID: 7911431127 Enrollment ID: I20241111003157 |
| Provider Name | Katelyn Corby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396579330 PECOS PAC ID: 2567996663 Enrollment ID: I20241112003404 |
| Provider Name | Emily Bruin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174347967 PECOS PAC ID: 1557896750 Enrollment ID: I20241125003319 |
| Provider Name | Sharon Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811710965 PECOS PAC ID: 6204361058 Enrollment ID: I20241203001530 |
| Provider Name | Christian Timothy Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518782812 PECOS PAC ID: 5799211447 Enrollment ID: I20241205001401 |
| Provider Name | Taylor Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689497596 PECOS PAC ID: 5597291989 Enrollment ID: I20241209002955 |
| Provider Name | Lauren K Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417779752 PECOS PAC ID: 8729514039 Enrollment ID: I20241210003929 |
| Provider Name | Heather Kerubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154143832 PECOS PAC ID: 0244766368 Enrollment ID: I20241211004302 |
| Provider Name | Monika Rupakheti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538919972 PECOS PAC ID: 0244767648 Enrollment ID: I20241226000384 |
| Provider Name | Maria Antonette Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861214058 PECOS PAC ID: 2567991243 Enrollment ID: I20250124001499 |
| Provider Name | Lori Lynn Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952116352 PECOS PAC ID: 5991225690 Enrollment ID: I20250225002827 |
| Provider Name | Samantha Ruschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285485284 PECOS PAC ID: 4082134697 Enrollment ID: I20250226003035 |
| Provider Name | Christina Appeadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871363440 PECOS PAC ID: 7315468626 Enrollment ID: I20250303003127 |
| Provider Name | Krizzia Krizzel Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376358432 PECOS PAC ID: 7113440785 Enrollment ID: I20250325002228 |
| Provider Name | Linda Carol Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487454856 PECOS PAC ID: 9032633250 Enrollment ID: I20250409002899 |
| Provider Name | Michelle Coleman-north |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285342410 PECOS PAC ID: 4486178423 Enrollment ID: I20250410003377 |
| Provider Name | Alexandria L Twehues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548054018 PECOS PAC ID: 9537684543 Enrollment ID: I20250422002086 |
| Provider Name | Tori Denee Trochelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619782034 PECOS PAC ID: 2668998501 Enrollment ID: I20250424000346 |
| Provider Name | Rhiannon Ditmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700674272 PECOS PAC ID: 1658898267 Enrollment ID: I20250507002128 |
| Provider Name | Liberata Rutashongerwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326853532 PECOS PAC ID: 3173033610 Enrollment ID: I20250612001100 |
| Provider Name | Jenna Pfiester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023811239 PECOS PAC ID: 1759891203 Enrollment ID: I20250612001204 |
Winton Hills Medical & Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Maple St, Cincinnati, OH 45216 Phone: 513-242-1033 Fax: 513-242-1539 | |
Trihealth Q, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7825 Laurel Ave, Cincinnati, OH 45243 Phone: 513-561-4811 Fax: 513-561-2730 | |
Neighborhood Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Clifton Ave., Cincinnati, OH 45219 Phone: 513-363-7555 | |
Winton Hills Medical And Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Reading Rd, Cincinnati, OH 45237 Phone: 513-242-1033 Fax: 513-242-1539 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 | |
East Total Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ohio Pike, Cincinnati, OH 45245 Phone: 513-753-7000 Fax: 513-753-7078 | |
University Family Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Crescent Ave, Cincinnati, OH 45215 Phone: 513-821-0275 Fax: 513-821-3621 |