Community Physician Network Urgent Care LLC - Medicare Primary Care in Indianapolis, IN

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Community Physician Network Urgent Care LLC is a medicare enrolled primary clinic (Family Medicine) in Indianapolis, Indiana. The current practice location for Community Physician Network Urgent Care LLC is 8177 Clearvista Pkwy, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 621-7800. The mailing address for Community Physician Network Urgent Care LLC is 7330 Shadeland Sta Ste 200, Indianapolis, Indiana.

Community Physician Network Urgent Care LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1487444782. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 621-7800.

Contact Information

Community Physician Network Urgent Care LLC
8177 Clearvista Pkwy
Indianapolis
IN 46256-1662
(317) 621-7800
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCommunity Physician Network Urgent Care LLC
SpecialityFamily Medicine
Location8177 Clearvista Pkwy, Indianapolis, Indiana
Authorized Official Name and PositionJohn Kunzer (EVP)
Authorized Official Contact3173555961
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Physician Network Urgent Care LLC
7330 Shadeland Sta Ste 200
Indianapolis
IN 46256-3985
Community Physician Network Urgent Care LLC
8177 Clearvista Pkwy
Indianapolis
IN 46256-1662

Ph: (317) 621-7800

NPI Details:

NPI Number1487444782
Provider Enumeration Date05/09/2025
Last Update Date03/30/2026
Certification Date03/30/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1052819869
Medicare Enrollment IDO20250811003707

Medical Identifiers

Medical identifiers for Community Physician Network Urgent Care LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487444782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Community Physician Network Urgent Care LLC acts as a billing entity for following providers:
Provider NameDanyelle M Loveless
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528089844
PECOS PAC ID: 5092608141
Enrollment ID: I20040204000085
Provider NameMatthew R Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114965076
PECOS PAC ID: 9234021635
Enrollment ID: I20040329001558
Provider NameCarole E Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093820896
PECOS PAC ID: 1355329830
Enrollment ID: I20040712000109
Provider NameErin B Hacker
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1255354536
PECOS PAC ID: 9931188125
Enrollment ID: I20040720000826
Provider NameJohn C Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932113719
PECOS PAC ID: 6901869577
Enrollment ID: I20041105000246
Provider NameSherwin Ibarra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952344491
PECOS PAC ID: 7911962816
Enrollment ID: I20041119000575
Provider NameHao David Yan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184680944
PECOS PAC ID: 6204879752
Enrollment ID: I20050606000614
Provider NameJan Marie Carnaghi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487730388
PECOS PAC ID: 1153355706
Enrollment ID: I20050922000696
Provider NameKimberly J Hatchett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871551838
PECOS PAC ID: 0941227805
Enrollment ID: I20060410000644
Provider NameMichelle J Mccarthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235162074
PECOS PAC ID: 1557360120
Enrollment ID: I20061208000079
Provider NameEmily a Aleman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1629162961
PECOS PAC ID: 2860596137
Enrollment ID: I20070326000318
Provider NameShana K Carmin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760569065
PECOS PAC ID: 1355446089
Enrollment ID: I20070425000057
Provider NameAndrew B Sprunger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376757377
PECOS PAC ID: 8729179080
Enrollment ID: I20070801000491
Provider NameKathryn E Mclaughlin
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073700423
PECOS PAC ID: 8022105287
Enrollment ID: I20071105000181
Provider NameJyoti J Singh
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1356520720
PECOS PAC ID: 6608965108
Enrollment ID: I20071207000230
Provider NameRamarao Yeleti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568461895
PECOS PAC ID: 1052398815
Enrollment ID: I20081224000308
Provider NameMaureen E Sampson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164691085
PECOS PAC ID: 0648317776
Enrollment ID: I20091022000386
Provider NameJames Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376568758
PECOS PAC ID: 7012810567
Enrollment ID: I20100727001061
Provider NameMarie Pfoser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154633261
PECOS PAC ID: 0143354209
Enrollment ID: I20100811001115
Provider NameHarmeet Sarao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932362373
PECOS PAC ID: 8820283187
Enrollment ID: I20101111001104
Provider NameSanju Daftari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013955764
PECOS PAC ID: 4082803960
Enrollment ID: I20110107000110
Provider NameCarolyn L Keihn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609186030
PECOS PAC ID: 3274712385
Enrollment ID: I20110121000208
Provider NameJames R Bush
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316246226
PECOS PAC ID: 7517143191
Enrollment ID: I20110516000673
Provider NameAndrew Archual
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316175060
PECOS PAC ID: 7315086394
Enrollment ID: I20110909002368
Provider NameJohn Charles Sawyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134407026
PECOS PAC ID: 1557533890
Enrollment ID: I20111011000515
Provider NameNyla L Fleming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497940449
PECOS PAC ID: 6901071190
Enrollment ID: I20111216000666
Provider NameAdam D Bainbridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770712523
PECOS PAC ID: 4587829874
Enrollment ID: I20120712000327
Provider NameCatherine Fritts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912013657
PECOS PAC ID: 3779748934
Enrollment ID: I20120713000272
Provider NameNora D Mitiche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003175365
PECOS PAC ID: 2961667134
Enrollment ID: I20120713000380
Provider NameKelly Braun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295098044
PECOS PAC ID: 7113183385
Enrollment ID: I20120717000271
Provider NameKelly L Foutch
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1043558596
PECOS PAC ID: 6507007192
Enrollment ID: I20130724000427
Provider NameGeoffrey T Coker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801234513
PECOS PAC ID: 3173766581
Enrollment ID: I20130904000975
Provider NameJessica M. Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639519143
PECOS PAC ID: 0749424786
Enrollment ID: I20130913000202
Provider NameJennifer C Clemente-metz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1962562801
PECOS PAC ID: 3476652983
Enrollment ID: I20140130000965
Provider NameDeborah J Demaree
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396032132
PECOS PAC ID: 1850538497
Enrollment ID: I20140805001609
Provider NameAngela Garvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477969889
PECOS PAC ID: 2466671128
Enrollment ID: I20140912000499
Provider NameRandi M Antworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144450180
PECOS PAC ID: 1759427685
Enrollment ID: I20141121001257
Provider NameSherman Ibarra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487607875
PECOS PAC ID: 6507859634
Enrollment ID: I20141211000847
Provider NameElizabeth Rush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396143012
PECOS PAC ID: 1355665928
Enrollment ID: I20150130002063
Provider NameLynn Christine Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831593045
PECOS PAC ID: 2961725254
Enrollment ID: I20150205001161
Provider NameMichela U Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861884249
PECOS PAC ID: 3870819683
Enrollment ID: I20150312002364
Provider NameMeng Yu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861882763
PECOS PAC ID: 9133449556
Enrollment ID: I20150526001884
Provider NameNikolina K Wiler
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1205205150
PECOS PAC ID: 9537478821
Enrollment ID: I20151028001031
Provider NameAndrea Opsal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851784094
PECOS PAC ID: 0648572883
Enrollment ID: I20160106000082
Provider NameHeather C Lents
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174997399
PECOS PAC ID: 6002112471
Enrollment ID: I20160310001255
Provider NameAshley Lauren Wolfgang
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942658018
PECOS PAC ID: 9830477199
Enrollment ID: I20161021000282
Provider NameMichelle Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427507904
PECOS PAC ID: 7810278280
Enrollment ID: I20161222000750
Provider NameAmy B Woebkenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053866921
PECOS PAC ID: 2163706367
Enrollment ID: I20170308000722
Provider NameErin R Brophy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851837702
PECOS PAC ID: 8729355144
Enrollment ID: I20170606000934
Provider NameKaitlyn D. Ervin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265972699
PECOS PAC ID: 1557630605
Enrollment ID: I20170705000562
Provider NameAlec J Pinder
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1285156612
PECOS PAC ID: 4880964287
Enrollment ID: I20170718001409
Provider NameAbby Belk
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1083083141
PECOS PAC ID: 2567771280
Enrollment ID: I20170809000656
Provider NameJentry E Odaniel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1720463532
PECOS PAC ID: 1557679008
Enrollment ID: I20170825002947
Provider NameThomas R Winders
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1730608415
PECOS PAC ID: 6709152861
Enrollment ID: I20171018001190
Provider NameJennifer D White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750821401
PECOS PAC ID: 3577839927
Enrollment ID: I20171030002400
Provider NameKristy L Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750884607
PECOS PAC ID: 9830444090
Enrollment ID: I20180612003178
Provider NameLeslie E Colon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942790514
PECOS PAC ID: 9133474737
Enrollment ID: I20180622001612
Provider NameJackie Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760988794
PECOS PAC ID: 9436407558
Enrollment ID: I20180807001519
Provider NameLindsey Marie Webster
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912292269
PECOS PAC ID: 7911178439
Enrollment ID: I20180807002216
Provider NameChelsea Keen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1740773696
PECOS PAC ID: 3072862739
Enrollment ID: I20180814003085
Provider NameRebecca Planck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184118598
PECOS PAC ID: 6608126263
Enrollment ID: I20180904000488
Provider NameRachael Lauren Hartley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063977825
PECOS PAC ID: 8628319803
Enrollment ID: I20190417000311
Provider NameSanjeev a Mehra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912245804
PECOS PAC ID: 9234366964
Enrollment ID: I20190507002477
Provider NameBradley T Braun
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1467015230
PECOS PAC ID: 2769718501
Enrollment ID: I20190731002487
Provider NameAmy J Dockrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013569821
PECOS PAC ID: 8729316369
Enrollment ID: I20190821001373
Provider NameKayla Ashley Huffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134788607
PECOS PAC ID: 2365771177
Enrollment ID: I20190904000619
Provider NameCatherine T Geanon
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1649828062
PECOS PAC ID: 6709116049
Enrollment ID: I20190930000364
Provider NameApril Palacios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578118790
PECOS PAC ID: 0143552299
Enrollment ID: I20191023000886
Provider NameRachel Retherford
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1669017117
PECOS PAC ID: 7517391436
Enrollment ID: I20200102000281
Provider NameBenjamin Hogan Crenshaw
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447806542
PECOS PAC ID: 6608202940
Enrollment ID: I20200205002461
Provider NamePriya Kaur
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073155420
PECOS PAC ID: 7315374188
Enrollment ID: I20200218000817
Provider NameStephanie Goodpaster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326671835
PECOS PAC ID: 6103256268
Enrollment ID: I20200414001569
Provider NameSarah Hockley
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1447770508
PECOS PAC ID: 8325463599
Enrollment ID: I20200805000476
Provider NameBlane Riley
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1437684578
PECOS PAC ID: 2466720081
Enrollment ID: I20200805003194
Provider NameKrystal Marie Li
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1598387904
PECOS PAC ID: 9931526571
Enrollment ID: I20200827003651
Provider NameAndrew Bennett Grubb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609481738
PECOS PAC ID: 0446679633
Enrollment ID: I20201008001034
Provider NameSusan Kohlhaas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801445416
PECOS PAC ID: 3375954910
Enrollment ID: I20201202002742
Provider NameMegan Levi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952858276
PECOS PAC ID: 0749520054
Enrollment ID: I20210129001128
Provider NameEllen Marie Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324754
PECOS PAC ID: 1658785688
Enrollment ID: I20210202001983
Provider NameAmber Lynn Dever
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700412855
PECOS PAC ID: 4284048083
Enrollment ID: I20210205000333
Provider NameTeddi Collins
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1023782174
PECOS PAC ID: 7810393899
Enrollment ID: I20210831002987
Provider NameMatea Rippe
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1588244941
PECOS PAC ID: 5294131124
Enrollment ID: I20210901001285
Provider NameCourtney Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043844574
PECOS PAC ID: 0446689699
Enrollment ID: I20211025002324
Provider NameJacqualine Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033863857
PECOS PAC ID: 8921492836
Enrollment ID: I20220218000436
Provider NameKatherine Torrance
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1669145843
PECOS PAC ID: 5991102360
Enrollment ID: I20220407001112
Provider NameAmanda Roeder
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447998562
PECOS PAC ID: 9638557713
Enrollment ID: I20220601001821
Provider NameJordon Courtney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801530852
PECOS PAC ID: 5395126510
Enrollment ID: I20220720000375
Provider NameShelley Baase
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780318360
PECOS PAC ID: 4587045463
Enrollment ID: I20220725000157
Provider NameStephanie Carrie Bingel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902116247
PECOS PAC ID: 0840675476
Enrollment ID: I20220919002254
Provider NameJennifer Lindsay Lavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326791138
PECOS PAC ID: 4183000987
Enrollment ID: I20221003000206
Provider NameKimberly Anne Craig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639893787
PECOS PAC ID: 0244606317
Enrollment ID: I20221013002653
Provider NameMegan Nicole Rauh
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1417686049
PECOS PAC ID: 2668849324
Enrollment ID: I20221109001285
Provider NameAlexis Nicole Knop
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902528086
PECOS PAC ID: 7113395153
Enrollment ID: I20221122001734
Provider NameJessica Sandra Silva
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1639887839
PECOS PAC ID: 6002284924
Enrollment ID: I20221128002103
Provider NameAbigail Mackenzie Haywood
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1780392597
PECOS PAC ID: 8628447604
Enrollment ID: I20221214000740
Provider NameSydney Alles
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1891400982
PECOS PAC ID: 8820460777
Enrollment ID: I20230202001947
Provider NameJulie Hilfiker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073224994
PECOS PAC ID: 4082087820
Enrollment ID: I20230227001737
Provider NameJacob Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356075931
PECOS PAC ID: 2860865490
Enrollment ID: I20230302000685
Provider NameErin Michelle Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821216672
PECOS PAC ID: 7315047255
Enrollment ID: I20230406002296
Provider NameMonica Rae Deford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538869458
PECOS PAC ID: 2163897653
Enrollment ID: I20230414002061
Provider NameCody Lee Ebnit
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1528771003
PECOS PAC ID: 1557736063
Enrollment ID: I20230417000231
Provider NameMckenzie Scheetz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1558053397
PECOS PAC ID: 4587027438
Enrollment ID: I20230825001192
Provider NameKaitlyn Marie Strebinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811728629
PECOS PAC ID: 6406395730
Enrollment ID: I20240829003426
Provider NameLascelles Garvey
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1093541765
PECOS PAC ID: 1850822867
Enrollment ID: I20241001004059
Provider NameKimberly Chantha Brutchen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629895198
PECOS PAC ID: 7810420270
Enrollment ID: I20241024001554
Provider NameSydney Nicole Yoe
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1285454868
PECOS PAC ID: 7214462589
Enrollment ID: I20241122002535
Provider NameKaitlyn Mccardle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801670021
PECOS PAC ID: 3476083619
Enrollment ID: I20250204000607
Provider NameNolan Ahearn
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1023833696
PECOS PAC ID: 7517480213
Enrollment ID: I20250402002491
Provider NameChristina J Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265173686
PECOS PAC ID: 0749668226
Enrollment ID: I20250826000823
Provider NameKayla Veach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790414068
PECOS PAC ID: 0042793531
Enrollment ID: I20260312002612
Provider NameMalesa Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386166577
PECOS PAC ID: 7911263272
Enrollment ID: I20260407002418
Provider NameJeffrey L Goodale
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1770514689
PECOS PAC ID: 6608884903
Enrollment ID: I20260422001973

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

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

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

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