| Eventus Ecs, Inc | |
|
150 W Market St Ste 400 Indianapolis IN 46204-2810 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Ecs, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 150 W Market St Ste 400, Indianapolis, Indiana |
| Authorized Official Name and Position | Jennifer Rucci (OWNER) |
| Authorized Official Contact | 5127924402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Ecs, Inc Po Box 1431 Dept 410 Charlotte NC 28201-1431 | Eventus Ecs, Inc 150 W Market St Ste 400 Indianapolis IN 46204-2810 Ph: (855) 743-2247 |
| NPI Number | 1073353496 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 2163969650 |
|---|---|
| Medicare Enrollment ID | O20240801002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073353496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Primary |
| Provider Name | Susan K Halley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716312 PECOS PAC ID: 0941271241 Enrollment ID: I20040802000840 |
| Provider Name | Vahid-david Sedaghat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584043 PECOS PAC ID: 5496714941 Enrollment ID: I20041008000991 |
| Provider Name | Mary Catherine Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386661064 PECOS PAC ID: 3971558222 Enrollment ID: I20050322000064 |
| Provider Name | Steven Delee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407845001 PECOS PAC ID: 1658329461 Enrollment ID: I20050621001018 |
| Provider Name | Thomas a Kintanar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750326351 PECOS PAC ID: 7517912637 Enrollment ID: I20050718000543 |
| Provider Name | Thomas P Van Den Driessche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073507745 PECOS PAC ID: 3678592292 Enrollment ID: I20051114000365 |
| Provider Name | Donald Wolfram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669499257 PECOS PAC ID: 7113020009 Enrollment ID: I20070314000177 |
| Provider Name | Marwan Mustaklem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20070327000115 |
| Provider Name | Becky J Yancey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346320421 PECOS PAC ID: 5496859183 Enrollment ID: I20070406000321 |
| Provider Name | Ruth Marie Poppele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851375364 PECOS PAC ID: 0345340477 Enrollment ID: I20070703000073 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Lisa Ann Kleindorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205912995 PECOS PAC ID: 1557430394 Enrollment ID: I20080520000055 |
| Provider Name | Linda K Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881897353 PECOS PAC ID: 4789742214 Enrollment ID: I20081027000833 |
| Provider Name | Paul T Kaplanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497860167 PECOS PAC ID: 4981767696 Enrollment ID: I20090107000089 |
| Provider Name | Kristi S Buis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205088283 PECOS PAC ID: 2163571092 Enrollment ID: I20090522000220 |
| Provider Name | Cassie Steck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306097936 PECOS PAC ID: 6103978747 Enrollment ID: I20090713000663 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20090928000065 |
| Provider Name | Smitha Patibandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154580918 PECOS PAC ID: 8426194069 Enrollment ID: I20091012000465 |
| Provider Name | Cheryl Davis-land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740335702 PECOS PAC ID: 8921147596 Enrollment ID: I20091120000563 |
| Provider Name | Ashley M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386875094 PECOS PAC ID: 8426180258 Enrollment ID: I20100714000830 |
| Provider Name | Robin E Cartwright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700113875 PECOS PAC ID: 1951593136 Enrollment ID: I20101006000486 |
| Provider Name | Kelly Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20101119000196 |
| Provider Name | Lisa J Omo Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629399696 PECOS PAC ID: 6709072853 Enrollment ID: I20101201000449 |
| Provider Name | Rachel Renee Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356675409 PECOS PAC ID: 9436291655 Enrollment ID: I20101206000547 |
| Provider Name | Michelle a Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366621484 PECOS PAC ID: 6103008750 Enrollment ID: I20110303000467 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Tina L Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083632616 PECOS PAC ID: 4587640909 Enrollment ID: I20111104000575 |
| Provider Name | Johnell J Treesh Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417256702 PECOS PAC ID: 6305004417 Enrollment ID: I20120221000583 |
| Provider Name | Julienne E Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972762516 PECOS PAC ID: 8224298641 Enrollment ID: I20120322000204 |
| Provider Name | Kimberly a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225387400 PECOS PAC ID: 3274782156 Enrollment ID: I20121009000813 |
| Provider Name | Natalie S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730429994 PECOS PAC ID: 4082851464 Enrollment ID: I20130501000467 |
| Provider Name | Kimberly Schoengart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300060 PECOS PAC ID: 7719128750 Enrollment ID: I20130802000295 |
| Provider Name | Stephen C Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184778284 PECOS PAC ID: 2961440391 Enrollment ID: I20130911000643 |
| Provider Name | Richard Lamar Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336410703 PECOS PAC ID: 7618102310 Enrollment ID: I20131106000267 |
| Provider Name | Stacey J Brames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932533742 PECOS PAC ID: 4183850654 Enrollment ID: I20131112001376 |
| Provider Name | West Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423401 PECOS PAC ID: 6002042918 Enrollment ID: I20131125001415 |
| Provider Name | Christopher a Baltes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992090971 PECOS PAC ID: 4284884305 Enrollment ID: I20140626000724 |
| Provider Name | Jennifer L Miskov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114263233 PECOS PAC ID: 1153566864 Enrollment ID: I20140814002079 |
| Provider Name | Vinicius Teixeira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516119 PECOS PAC ID: 0143442541 Enrollment ID: I20141120000652 |
| Provider Name | Susan M Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811276751 PECOS PAC ID: 9335461938 Enrollment ID: I20141210001633 |
| Provider Name | Saif Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447540943 PECOS PAC ID: 7012133812 Enrollment ID: I20150220002156 |
| Provider Name | Adaobi Ogonuwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469234 PECOS PAC ID: 3971829722 Enrollment ID: I20150313001101 |
| Provider Name | Jennifer J Krohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780083873 PECOS PAC ID: 9032439179 Enrollment ID: I20150513001586 |
| Provider Name | Cortney L Hendress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964407 PECOS PAC ID: 3870813256 Enrollment ID: I20150527000583 |
| Provider Name | Jennifer C Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881649 PECOS PAC ID: 5193036028 Enrollment ID: I20150619000076 |
| Provider Name | Sarah Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262641 PECOS PAC ID: 5698080083 Enrollment ID: I20150813011438 |
| Provider Name | Bridgit Lee Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456454 PECOS PAC ID: 5294040283 Enrollment ID: I20150820009949 |
| Provider Name | Kourtney Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972910602 PECOS PAC ID: 6406163070 Enrollment ID: I20150915000105 |
| Provider Name | Geraldine Elizabeth Darkwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556267 PECOS PAC ID: 0648587709 Enrollment ID: I20150922002021 |
| Provider Name | Allison Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027785 PECOS PAC ID: 0941518187 Enrollment ID: I20151007002593 |
| Provider Name | Sheila M Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639557556 PECOS PAC ID: 1850600024 Enrollment ID: I20151029001036 |
| Provider Name | Sheilah Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983833 PECOS PAC ID: 6002135928 Enrollment ID: I20160122001057 |
| Provider Name | Mariann L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649630104 PECOS PAC ID: 0345549739 Enrollment ID: I20160506001163 |
| Provider Name | Jessica R Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972964484 PECOS PAC ID: 3577857655 Enrollment ID: I20160812000112 |
| Provider Name | Sara a Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378635 PECOS PAC ID: 9638466196 Enrollment ID: I20160927001252 |
| Provider Name | Amanda Jo Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757528 PECOS PAC ID: 8527355031 Enrollment ID: I20160928000112 |
| Provider Name | Sarah E Whipker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699225805 PECOS PAC ID: 7810275294 Enrollment ID: I20161107000992 |
| Provider Name | Carrie Lee Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295282267 PECOS PAC ID: 1557640422 Enrollment ID: I20161116002207 |
| Provider Name | Elisha Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407122351 PECOS PAC ID: 5193989085 Enrollment ID: I20161205000180 |
| Provider Name | Samantha Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710426176 PECOS PAC ID: 6305120551 Enrollment ID: I20170307001335 |
| Provider Name | Amber N Handshoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073034500 PECOS PAC ID: 5496025611 Enrollment ID: I20170720003060 |
| Provider Name | Teresa Wuestefeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327778 PECOS PAC ID: 8325319114 Enrollment ID: I20170814001109 |
| Provider Name | Jami D Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598287245 PECOS PAC ID: 6901179555 Enrollment ID: I20170905000630 |
| Provider Name | Melissa L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649797655 PECOS PAC ID: 3577836626 Enrollment ID: I20170912000856 |
| Provider Name | Amanda N Koehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679002737 PECOS PAC ID: 4284909409 Enrollment ID: I20171013000593 |
| Provider Name | Roxanne Wolfram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225360977 PECOS PAC ID: 5991064768 Enrollment ID: I20180124002055 |
| Provider Name | Brandon Emry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164938007 PECOS PAC ID: 9032471826 Enrollment ID: I20180314001055 |
| Provider Name | Amanda B Bazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205334448 PECOS PAC ID: 7214290253 Enrollment ID: I20180404001862 |
| Provider Name | Kimberly a Hadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697062 PECOS PAC ID: 0648248252 Enrollment ID: I20180718000268 |
| Provider Name | Amy Jo Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295196673 PECOS PAC ID: 0143510933 Enrollment ID: I20180727002061 |
| Provider Name | Jessie Whiteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073090130 PECOS PAC ID: 3779831946 Enrollment ID: I20180803001042 |
| Provider Name | Robert a Cassady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407206824 PECOS PAC ID: 2860775848 Enrollment ID: I20180831000722 |
| Provider Name | Nicole R Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417431446 PECOS PAC ID: 7416209101 Enrollment ID: I20181008001948 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181023002662 |
| Provider Name | Jennifer L Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548669112 PECOS PAC ID: 2264650340 Enrollment ID: I20181107000540 |
| Provider Name | Jenniffer Lee Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881160885 PECOS PAC ID: 7416841655 Enrollment ID: I20181204000811 |
| Provider Name | Julie Marie Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962970129 PECOS PAC ID: 5799028825 Enrollment ID: I20190513002548 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20190529000434 |
| Provider Name | Nathan Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629636089 PECOS PAC ID: 3072849595 Enrollment ID: I20190722002400 |
| Provider Name | Deanna Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548828338 PECOS PAC ID: 9830425974 Enrollment ID: I20190726000247 |
| Provider Name | Kara E Younce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795913 PECOS PAC ID: 5092041137 Enrollment ID: I20190726000320 |
| Provider Name | Jennifer Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871832550 PECOS PAC ID: 3375870165 Enrollment ID: I20190816002299 |
| Provider Name | Michele L Viers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639637341 PECOS PAC ID: 6709114127 Enrollment ID: I20190823000203 |
| Provider Name | Todd Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923417 PECOS PAC ID: 2062742596 Enrollment ID: I20190926001855 |
| Provider Name | Casey Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154970879 PECOS PAC ID: 4880925619 Enrollment ID: I20191009002586 |
| Provider Name | Jennifer Okeefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356998710 PECOS PAC ID: 0345571543 Enrollment ID: I20191018000352 |
| Provider Name | Amber Nicole Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152114 PECOS PAC ID: 4880026772 Enrollment ID: I20191114001606 |
| Provider Name | Francesca Udoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262992 PECOS PAC ID: 1254323363 Enrollment ID: I20191115000685 |
| Provider Name | Elizabeth Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164847372 PECOS PAC ID: 8729393160 Enrollment ID: I20191115001363 |
| Provider Name | Cortney Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063954451 PECOS PAC ID: 6800136508 Enrollment ID: I20191118000112 |
| Provider Name | Chanel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013536358 PECOS PAC ID: 1850721465 Enrollment ID: I20200422003195 |
| Provider Name | David M Jette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962036715 PECOS PAC ID: 2466883376 Enrollment ID: I20200508002542 |
| Provider Name | Madalene Beckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700408648 PECOS PAC ID: 2163843343 Enrollment ID: I20200526000132 |
| Provider Name | Nadine Alene Nufer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245853258 PECOS PAC ID: 3971924028 Enrollment ID: I20200528001722 |
| Provider Name | Bernadette Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497370019 PECOS PAC ID: 0244657419 Enrollment ID: I20200902001755 |
| Provider Name | Bambi Michelle Cardinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952915951 PECOS PAC ID: 7911318027 Enrollment ID: I20201120002233 |
| Provider Name | Kaitlin Overfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508468133 PECOS PAC ID: 8921411430 Enrollment ID: I20201230000356 |
| Provider Name | Lacey Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275135212 PECOS PAC ID: 2769895036 Enrollment ID: I20210105001632 |
| Provider Name | Cynthia Louise Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700477288 PECOS PAC ID: 9436567435 Enrollment ID: I20210412001509 |
| Provider Name | Timothy S Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851785 PECOS PAC ID: 6406264753 Enrollment ID: I20210426002532 |
| Provider Name | Carly Dearth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689249294 PECOS PAC ID: 9931500527 Enrollment ID: I20210702002363 |
| Provider Name | Brandy Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221859 PECOS PAC ID: 8022412857 Enrollment ID: I20210802001173 |
| Provider Name | Catherine Flem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699388942 PECOS PAC ID: 6002229325 Enrollment ID: I20210907002085 |
| Provider Name | Liang Lu Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396316550 PECOS PAC ID: 3577961952 Enrollment ID: I20211015000980 |
| Provider Name | Jared Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790454650 PECOS PAC ID: 4284023086 Enrollment ID: I20211117001103 |
| Provider Name | Jenille L. Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215599758 PECOS PAC ID: 2365835113 Enrollment ID: I20220131001988 |
| Provider Name | Ireland Falconberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497414478 PECOS PAC ID: 8426441452 Enrollment ID: I20220215000984 |
| Provider Name | Alicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629733290 PECOS PAC ID: 3072908920 Enrollment ID: I20220311002006 |
| Provider Name | Lindsey Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447911615 PECOS PAC ID: 3577959782 Enrollment ID: I20220414001830 |
| Provider Name | Leann J Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114678869 PECOS PAC ID: 7618356932 Enrollment ID: I20220616001907 |
| Provider Name | Jessica Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028565 PECOS PAC ID: 5991186942 Enrollment ID: I20220721002430 |
| Provider Name | Cassandra Lynn Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218299 PECOS PAC ID: 2769867308 Enrollment ID: I20220916002419 |
| Provider Name | Laura Diane Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363065 PECOS PAC ID: 0446626055 Enrollment ID: I20221024001875 |
| Provider Name | Taryn Fernandes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508396292 PECOS PAC ID: 6406248947 Enrollment ID: I20221026001833 |
| Provider Name | Tabitha Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316394406 PECOS PAC ID: 4789977000 Enrollment ID: I20221031001110 |
| Provider Name | Sarah Poag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982325676 PECOS PAC ID: 6406223395 Enrollment ID: I20221107000813 |
| Provider Name | Alexandria Mcneill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558847053 PECOS PAC ID: 9133463516 Enrollment ID: I20221207000769 |
| Provider Name | Jody Michelle Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821709429 PECOS PAC ID: 6103296553 Enrollment ID: I20221230000876 |
| Provider Name | Mindy a Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063122273 PECOS PAC ID: 9335519388 Enrollment ID: I20230109000385 |
| Provider Name | Torri Predmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649222985 PECOS PAC ID: 0840203618 Enrollment ID: I20230124002716 |
| Provider Name | Zeinab Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053024182 PECOS PAC ID: 4981075215 Enrollment ID: I20230125001313 |
| Provider Name | Rhonda Fay Frais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811607740 PECOS PAC ID: 8022480979 Enrollment ID: I20230202001865 |
| Provider Name | Elizabeth Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376288894 PECOS PAC ID: 9830577790 Enrollment ID: I20230303002060 |
| Provider Name | Robert Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093421349 PECOS PAC ID: 4486028149 Enrollment ID: I20230320001430 |
| Provider Name | Makulah Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20230328001036 |
| Provider Name | Teresa Cating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508281593 PECOS PAC ID: 8123244084 Enrollment ID: I20230404001013 |
| Provider Name | Cortney Kulers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700341 PECOS PAC ID: 7214299312 Enrollment ID: I20230417000189 |
| Provider Name | Ashleigh Denise Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274906 PECOS PAC ID: 3072988484 Enrollment ID: I20230417000357 |
| Provider Name | Jordan Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417476490 PECOS PAC ID: 7416223318 Enrollment ID: I20230502000556 |
| Provider Name | Marlene Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205442 PECOS PAC ID: 1254569643 Enrollment ID: I20230512000203 |
| Provider Name | Kelsey Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700575867 PECOS PAC ID: 2769848480 Enrollment ID: I20230522002369 |
| Provider Name | Nicholas D Panting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346865516 PECOS PAC ID: 8527481043 Enrollment ID: I20230630001121 |
| Provider Name | Pamela Nubong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891436481 PECOS PAC ID: 3779942925 Enrollment ID: I20230706000528 |
| Provider Name | Sonya Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770267551 PECOS PAC ID: 1052771524 Enrollment ID: I20230714003069 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20230721001815 |
| Provider Name | Jodi Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104411875 PECOS PAC ID: 7214345289 Enrollment ID: I20230804002241 |
| Provider Name | Ashley B Walorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457032518 PECOS PAC ID: 1052774247 Enrollment ID: I20230906001748 |
| Provider Name | Brandy Monique Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225716988 PECOS PAC ID: 2365806247 Enrollment ID: I20230911002741 |
| Provider Name | Molly Salmonsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943799 PECOS PAC ID: 1254745367 Enrollment ID: I20230923000271 |
| Provider Name | Jamie M Duck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356419428 PECOS PAC ID: 7416959564 Enrollment ID: I20231024000236 |
| Provider Name | Joli Jungels Daley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306628870 PECOS PAC ID: 2860848108 Enrollment ID: I20231024000320 |
| Provider Name | Sheena Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013412170 PECOS PAC ID: 9830452226 Enrollment ID: I20231030001104 |
| Provider Name | Sushila Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801679543 PECOS PAC ID: 3971959693 Enrollment ID: I20231031003211 |
| Provider Name | Sara Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831879055 PECOS PAC ID: 1355703950 Enrollment ID: I20231108003518 |
| Provider Name | Stephanie Marie Yeakle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558142323 PECOS PAC ID: 3779931936 Enrollment ID: I20231128003072 |
| Provider Name | Margaret Miru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326827916 PECOS PAC ID: 0446609259 Enrollment ID: I20231205002868 |
| Provider Name | Adam Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849835 PECOS PAC ID: 5799104154 Enrollment ID: I20231205003636 |
| Provider Name | Amber Adcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629422886 PECOS PAC ID: 7214225341 Enrollment ID: I20240109002284 |
| Provider Name | Marion Nyaguthii Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912785643 PECOS PAC ID: 4688804925 Enrollment ID: I20240125002517 |
| Provider Name | Cheryl Lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942061262 PECOS PAC ID: 7719320845 Enrollment ID: I20240206002419 |
| Provider Name | Tamala Ndenguma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891567905 PECOS PAC ID: 1557707007 Enrollment ID: I20240307000741 |
| Provider Name | Jessica Marie Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295501138 PECOS PAC ID: 3678919859 Enrollment ID: I20240311001015 |
| Provider Name | Chelsey Smith-hutcherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699330217 PECOS PAC ID: 0345574273 Enrollment ID: I20240312000410 |
| Provider Name | Mary Nguru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894454 PECOS PAC ID: 1759728678 Enrollment ID: I20240327000530 |
| Provider Name | Victor Zindoga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871350744 PECOS PAC ID: 3173960028 Enrollment ID: I20240327001492 |
| Provider Name | Jessica Diane Sajdyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558124180 PECOS PAC ID: 3072952720 Enrollment ID: I20240415003154 |
| Provider Name | Jodi Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649981671 PECOS PAC ID: 4587034038 Enrollment ID: I20240416002745 |
| Provider Name | Amanda Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891561585 PECOS PAC ID: 4486091162 Enrollment ID: I20240507003025 |
| Provider Name | Allison Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194581967 PECOS PAC ID: 1850733650 Enrollment ID: I20240524001177 |
| Provider Name | Olivia Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588403414 PECOS PAC ID: 9133663628 Enrollment ID: I20240625003475 |
| Provider Name | Amanda Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700626231 PECOS PAC ID: 2860936119 Enrollment ID: I20240627003707 |
| Provider Name | Mary Beth Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932866407 PECOS PAC ID: 9133514797 Enrollment ID: I20240710004600 |
| Provider Name | Tasha Renee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003655150 PECOS PAC ID: 3476090879 Enrollment ID: I20240802002213 |
| Provider Name | Cecilia B. Gichaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215635735 PECOS PAC ID: 7719425271 Enrollment ID: I20240814004287 |
| Provider Name | Melissa Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730926833 PECOS PAC ID: 3476091539 Enrollment ID: I20240820003098 |
| Provider Name | Ronica Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780412783 PECOS PAC ID: 7416498647 Enrollment ID: I20240916001584 |
| Provider Name | Ashley Thrush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851137475 PECOS PAC ID: 3173056181 Enrollment ID: I20241030000341 |
| Provider Name | Salonda Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154140333 PECOS PAC ID: 0749714038 Enrollment ID: I20241108001839 |
| Provider Name | Alina L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629507587 PECOS PAC ID: 8729406657 Enrollment ID: I20241114002498 |
| Provider Name | Nicole Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467279364 PECOS PAC ID: 2163957077 Enrollment ID: I20241129000233 |
| Provider Name | Elizabeth Holzhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669296380 PECOS PAC ID: 1052848355 Enrollment ID: I20241227001545 |
| Provider Name | Brittany Huwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902613086 PECOS PAC ID: 5799213443 Enrollment ID: I20250109001383 |
| Provider Name | Lilian Kagendo Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106559 PECOS PAC ID: 3173052545 Enrollment ID: I20250130000388 |
| Provider Name | Samantha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215329388 PECOS PAC ID: 7416362363 Enrollment ID: I20250401003383 |
| Provider Name | Abbey Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952116717 PECOS PAC ID: 2365966967 Enrollment ID: I20250404000641 |
| Provider Name | Sara Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497519599 PECOS PAC ID: 0840637179 Enrollment ID: I20250418000790 |
| Provider Name | Candice Machelle Hite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457996985 PECOS PAC ID: 9436583440 Enrollment ID: I20250613001092 |
| Provider Name | Shantise Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172254 PECOS PAC ID: 4587073382 Enrollment ID: I20250617002094 |
| Provider Name | Rutendo Grace Ndoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932960598 PECOS PAC ID: 9335654896 Enrollment ID: I20250714002823 |
| Provider Name | Aaron Schmid |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013410869 PECOS PAC ID: 9739542788 Enrollment ID: I20250715002670 |
| Provider Name | Meredith Neale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669137246 PECOS PAC ID: 2062802192 Enrollment ID: I20250715002965 |
| Provider Name | Amanda Gillenwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649744384 PECOS PAC ID: 6002236809 Enrollment ID: I20250717002053 |
| Provider Name | Kelly Wittenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073868519 PECOS PAC ID: 2163674722 Enrollment ID: I20250808000839 |
| Provider Name | Ameedat Titilope Adedokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740003888 PECOS PAC ID: 4284132309 Enrollment ID: I20250808000847 |
| Provider Name | Ashley Emrhein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056044 PECOS PAC ID: 4688975758 Enrollment ID: I20250808001188 |
| Provider Name | Michelle Bumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528369451 PECOS PAC ID: 2365631975 Enrollment ID: I20250808002724 |
| Provider Name | Stephanie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647033 PECOS PAC ID: 9335400860 Enrollment ID: I20250811001483 |
| Provider Name | Abbas Smiley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669113064 PECOS PAC ID: 5092214700 Enrollment ID: I20250819003617 |
| Provider Name | Toyosi Fagbemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588457295 PECOS PAC ID: 2961905096 Enrollment ID: I20250912003242 |
| Provider Name | Lakisha S Eskridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265232714 PECOS PAC ID: 3274023650 Enrollment ID: I20251104004297 |
| Provider Name | Jennifer Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023812708 PECOS PAC ID: 2062907355 Enrollment ID: I20251224000182 |
| Provider Name | Katelynn Crull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114883386 PECOS PAC ID: 1355823220 Enrollment ID: I20260302000877 |
| Provider Name | Jesus Diaz-muniz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144410135 PECOS PAC ID: 7315226545 Enrollment ID: I20260318001133 |
| Provider Name | Jessica Schneebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851049167 PECOS PAC ID: 5698154532 Enrollment ID: I20260327002602 |
| Provider Name | Christy Whitenight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174383723 PECOS PAC ID: 2769914126 Enrollment ID: I20260409003542 |
| Provider Name | Nicole Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546247 PECOS PAC ID: 8325434343 Enrollment ID: I20260415002757 |
| Provider Name | Melissa Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528251113 PECOS PAC ID: 8921186412 Enrollment ID: I20260515003505 |
| Provider Name | Travis Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494497 PECOS PAC ID: 1951661941 Enrollment ID: I20260518002762 |
| Provider Name | Akeena Maxina Sylvestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669343273 PECOS PAC ID: 1355813742 Enrollment ID: I20260617000710 |
Moazzam Habib MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 |
Evernorth Care Providers - Delaware PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 |