| Jones County Clinic | |
|
609 Garfield Ave Murdo SD 57559 | |
| (605) 669-2121 | |
| (605) 669-3301 |
| Full Name | Jones County Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 Garfield Ave, Murdo, South Dakota |
| Authorized Official Name and Position | James M Hardwick (CEO) |
| Authorized Official Contact | 6052232200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jones County Clinic 202 Island Dr Ste 1 Fort Pierre SD 57532-7303 Ph: (605) 669-2121 | Jones County Clinic 609 Garfield Ave Murdo SD 57559 Ph: (605) 669-2121 |
| NPI Number | 1720076441 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 3476447541 |
|---|---|
| Medicare Enrollment ID | O20040210000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720076441 | NPI | - | NPPES |
| 0002646 | Other | SD | BCBS GROUP PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Mark C Ballard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801909718 PECOS PAC ID: 7012821721 Enrollment ID: I20031117000871 |
| Provider Name | Kristie L Goens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245204957 PECOS PAC ID: 0345148359 Enrollment ID: I20031229000915 |
| Provider Name | Nathan J Hinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710957188 PECOS PAC ID: 9537054002 Enrollment ID: I20040216000632 |
| Provider Name | Amy L Bakker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003868290 PECOS PAC ID: 0042106130 Enrollment ID: I20040225000798 |
| Provider Name | Nancy L Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972596724 PECOS PAC ID: 4688566110 Enrollment ID: I20040329000440 |
| Provider Name | Matthew Dee Christiansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639136088 PECOS PAC ID: 2062406655 Enrollment ID: I20040414001552 |
| Provider Name | Kenneth a Bartholomew |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639144363 PECOS PAC ID: 9436142197 Enrollment ID: I20040415000937 |
| Provider Name | Tara a Heinze |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053363242 PECOS PAC ID: 6305831777 Enrollment ID: I20040415000989 |
| Provider Name | Virginia F Lemme |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346293610 PECOS PAC ID: 2466442991 Enrollment ID: I20040515000486 |
| Provider Name | Stephen J Knoble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245230937 PECOS PAC ID: 1052301330 Enrollment ID: I20040518000058 |
| Provider Name | Tammi K Stangohr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164428918 PECOS PAC ID: 2860483708 Enrollment ID: I20040520000298 |
| Provider Name | April N Crago |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104825157 PECOS PAC ID: 3274522966 Enrollment ID: I20040622000774 |
| Provider Name | Bonnie L Bleeker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083618631 PECOS PAC ID: 0941272983 Enrollment ID: I20040810000686 |
| Provider Name | Richard S Hieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801844824 PECOS PAC ID: 2668446873 Enrollment ID: I20040824000286 |
| Provider Name | Daniel Cecil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700844131 PECOS PAC ID: 5193636884 Enrollment ID: I20040824000328 |
| Provider Name | Matt N Bien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972553949 PECOS PAC ID: 8527032671 Enrollment ID: I20040824000652 |
| Provider Name | Debra J Rodeghiero Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043268063 PECOS PAC ID: 6305810375 Enrollment ID: I20040825000025 |
| Provider Name | Sarah J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538119581 PECOS PAC ID: 6901872126 Enrollment ID: I20040908001186 |
| Provider Name | Daniel J Kvale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750356465 PECOS PAC ID: 9335118223 Enrollment ID: I20040928000517 |
| Provider Name | Rebecca S Vandekop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669422606 PECOS PAC ID: 0446141006 Enrollment ID: I20041102000330 |
| Provider Name | Lucio N Margallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639271034 PECOS PAC ID: 1557328499 Enrollment ID: I20041213000765 |
| Provider Name | Darrell W Plumage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013938844 PECOS PAC ID: 1254380728 Enrollment ID: I20050121000748 |
| Provider Name | Barbara a Harvison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396780698 PECOS PAC ID: 8921053141 Enrollment ID: I20050321000413 |
| Provider Name | Mary G Jahraus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689611212 PECOS PAC ID: 2466485552 Enrollment ID: I20050919000479 |
| Provider Name | Michael T Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912971094 PECOS PAC ID: 5799778494 Enrollment ID: I20050919000591 |
| Provider Name | Philip F Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972595981 PECOS PAC ID: 1355334046 Enrollment ID: I20050919000774 |
| Provider Name | Jonathan C Olegario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376532697 PECOS PAC ID: 6002831286 Enrollment ID: I20051008000078 |
| Provider Name | Trevor a Meaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674537 PECOS PAC ID: 3173543634 Enrollment ID: I20051129000450 |
| Provider Name | Kasey J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346246493 PECOS PAC ID: 3779565593 Enrollment ID: I20060113000097 |
| Provider Name | Charles R Emery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881786853 PECOS PAC ID: 6800787235 Enrollment ID: I20070404000294 |
| Provider Name | Sarah E Newton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700931912 PECOS PAC ID: 0648375154 Enrollment ID: I20070411000404 |
| Provider Name | Dennis G Leland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467418772 PECOS PAC ID: 6305805169 Enrollment ID: I20070808000007 |
| Provider Name | Kenric D Malmberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376585885 PECOS PAC ID: 4981795796 Enrollment ID: I20070808000757 |
| Provider Name | Janine D Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568461804 PECOS PAC ID: 1355344151 Enrollment ID: I20071025000491 |
| Provider Name | James F Walery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366207 PECOS PAC ID: 8628167814 Enrollment ID: I20071211000742 |
| Provider Name | Betsy M Van Genderen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780865626 PECOS PAC ID: 4486735917 Enrollment ID: I20080122000694 |
| Provider Name | Kathryn a Hettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689690919 PECOS PAC ID: 7810931367 Enrollment ID: I20080220000057 |
| Provider Name | Joseph O Wyatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871561126 PECOS PAC ID: 2860565363 Enrollment ID: I20080716000652 |
| Provider Name | Chad J Carda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013139823 PECOS PAC ID: 3375637671 Enrollment ID: I20080821000093 |
| Provider Name | Julia a Abraham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104082288 PECOS PAC ID: 9739257064 Enrollment ID: I20081014000103 |
| Provider Name | Jill D Kruse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114967403 PECOS PAC ID: 4486722725 Enrollment ID: I20081014000157 |
| Provider Name | Tonya D Buchholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538311352 PECOS PAC ID: 5799847208 Enrollment ID: I20081217000460 |
| Provider Name | Katherine E Mcgraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144203514 PECOS PAC ID: 5890748693 Enrollment ID: I20090311000590 |
| Provider Name | Wallace J Jackmon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427020957 PECOS PAC ID: 6709896467 Enrollment ID: I20090424000148 |
| Provider Name | Kevin B Bray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932100914 PECOS PAC ID: 6002944303 Enrollment ID: I20100506000777 |
| Provider Name | Mary K Schaefer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093706616 PECOS PAC ID: 2769544857 Enrollment ID: I20100709000273 |
| Provider Name | Theresa Mae Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073583621 PECOS PAC ID: 6103715628 Enrollment ID: I20100720000767 |
| Provider Name | Catherine Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356338966 PECOS PAC ID: 0941217459 Enrollment ID: I20100830000098 |
| Provider Name | Aaron P Baas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114144375 PECOS PAC ID: 2163489477 Enrollment ID: I20100923000452 |
| Provider Name | Joseph P Prasek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016650 PECOS PAC ID: 2466645015 Enrollment ID: I20101015000272 |
| Provider Name | Shelby Eischens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770529844 PECOS PAC ID: 3678511086 Enrollment ID: I20110106000990 |
| Provider Name | Caroline M Fuhrer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669779674 PECOS PAC ID: 7315129020 Enrollment ID: I20110316000473 |
| Provider Name | Ryan M Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992026652 PECOS PAC ID: 6608060371 Enrollment ID: I20110425000813 |
| Provider Name | James a Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528239860 PECOS PAC ID: 9335319326 Enrollment ID: I20110830000791 |
| Provider Name | Brandon J Wegehaupt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134408578 PECOS PAC ID: 7315119476 Enrollment ID: I20111013000558 |
| Provider Name | Nicole M Poppinga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013118512 PECOS PAC ID: 7517130206 Enrollment ID: I20111025000120 |
| Provider Name | Heidi M Gehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083991012 PECOS PAC ID: 3779757810 Enrollment ID: I20111129000566 |
| Provider Name | Katie L Urban |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720345242 PECOS PAC ID: 8224284831 Enrollment ID: I20120815000260 |
| Provider Name | Katie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932464435 PECOS PAC ID: 0244487155 Enrollment ID: I20120829000173 |
| Provider Name | Andrew Ellsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568690758 PECOS PAC ID: 6507015724 Enrollment ID: I20121003000820 |
| Provider Name | Tammy J Crofutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417204967 PECOS PAC ID: 5799936217 Enrollment ID: I20121119000555 |
| Provider Name | Dawn R Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992713739 PECOS PAC ID: 4587705744 Enrollment ID: I20130124000488 |
| Provider Name | Nicole Rae Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326387465 PECOS PAC ID: 9133365414 Enrollment ID: I20130410000436 |
| Provider Name | Kyla B Feickert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316285471 PECOS PAC ID: 3173769379 Enrollment ID: I20130412000474 |
| Provider Name | Michael P Mclaury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942640461 PECOS PAC ID: 8921248824 Enrollment ID: I20130716000830 |
| Provider Name | Zoilo Lansang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077729 PECOS PAC ID: 0244474799 Enrollment ID: I20130923000783 |
| Provider Name | Brandt Becker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538321708 PECOS PAC ID: 4880820216 Enrollment ID: I20131113001468 |
| Provider Name | Benjamin C Abbey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639590219 PECOS PAC ID: 9739319849 Enrollment ID: I20140310002226 |
| Provider Name | Connie M Belford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588095038 PECOS PAC ID: 2466676762 Enrollment ID: I20140606000054 |
| Provider Name | Mark D List |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801188891 PECOS PAC ID: 2365678885 Enrollment ID: I20140827000241 |
| Provider Name | Nathan John Timmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972890911 PECOS PAC ID: 0648499129 Enrollment ID: I20140915002700 |
| Provider Name | Arica K Nickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618459 PECOS PAC ID: 6204055924 Enrollment ID: I20141120002719 |
| Provider Name | Nicholas S Torbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528379393 PECOS PAC ID: 1153648381 Enrollment ID: I20150326001063 |
| Provider Name | Xenofon Papadopoulos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306943576 PECOS PAC ID: 6002813748 Enrollment ID: I20150915000956 |
| Provider Name | Amber K Evenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285003772 PECOS PAC ID: 4082924436 Enrollment ID: I20151113002515 |
| Provider Name | Lacey Amber Bonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780055780 PECOS PAC ID: 5890096069 Enrollment ID: I20151211000776 |
| Provider Name | Jackie J Bau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971321 PECOS PAC ID: 2264731348 Enrollment ID: I20160422001798 |
| Provider Name | Meghan J Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134584584 PECOS PAC ID: 8628367471 Enrollment ID: I20160517002218 |
| Provider Name | Anne M Kvamme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710329628 PECOS PAC ID: 8921231648 Enrollment ID: I20160601002818 |
| Provider Name | Whitney Kroupa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205200243 PECOS PAC ID: 6002100278 Enrollment ID: I20160810002313 |
| Provider Name | Kelly M Evans-hullinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871869057 PECOS PAC ID: 6709106685 Enrollment ID: I20160819001922 |
| Provider Name | Johanna Bieberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508892241 PECOS PAC ID: 0648165720 Enrollment ID: I20160906002603 |
| Provider Name | Ashley L Lipp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871046136 PECOS PAC ID: 9032499199 Enrollment ID: I20161206002360 |
| Provider Name | Katie M Metz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558667113 PECOS PAC ID: 1052594397 Enrollment ID: I20161221000675 |
| Provider Name | Rachel J Sunne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851634406 PECOS PAC ID: 0446473078 Enrollment ID: I20170112002055 |
| Provider Name | Stacy R Stoterau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203780 PECOS PAC ID: 0345523965 Enrollment ID: I20170206001772 |
| Provider Name | Teresa L Mead-hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013452325 PECOS PAC ID: 4486931383 Enrollment ID: I20170502001392 |
| Provider Name | Britta Julson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477082097 PECOS PAC ID: 5799056347 Enrollment ID: I20170801001532 |
| Provider Name | Kayla M Hannemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922427830 PECOS PAC ID: 3476770686 Enrollment ID: I20170823002135 |
| Provider Name | Sarah C Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174048235 PECOS PAC ID: 9234403171 Enrollment ID: I20170915003033 |
| Provider Name | Jesse J Barondeau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760683585 PECOS PAC ID: 3173846474 Enrollment ID: I20180103001281 |
| Provider Name | Christine M Zambon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083633846 PECOS PAC ID: 1557350899 Enrollment ID: I20180124002033 |
| Provider Name | Denise Roemen-kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275981110 PECOS PAC ID: 8921386715 Enrollment ID: I20180212002576 |
| Provider Name | Mary L Borgstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407828569 PECOS PAC ID: 6305885260 Enrollment ID: I20180403002724 |
| Provider Name | Rosalee R Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063901122 PECOS PAC ID: 0749535649 Enrollment ID: I20180618001897 |
| Provider Name | Rachel L Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609358035 PECOS PAC ID: 3971857467 Enrollment ID: I20181120001542 |
| Provider Name | Amelia K Rew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316421084 PECOS PAC ID: 6002160330 Enrollment ID: I20181126001423 |
| Provider Name | Brittany B Kerr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609357623 PECOS PAC ID: 4385989573 Enrollment ID: I20181217000913 |
| Provider Name | Teresa a Jatczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457835639 PECOS PAC ID: 7214273291 Enrollment ID: I20190111001981 |
| Provider Name | Angela M Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154896801 PECOS PAC ID: 3274879267 Enrollment ID: I20190111002189 |
| Provider Name | Theresa C Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588021919 PECOS PAC ID: 6507162948 Enrollment ID: I20190208001296 |
| Provider Name | Jennifer L Byer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487973525 PECOS PAC ID: 9133359789 Enrollment ID: I20190325001967 |
| Provider Name | Tammy Jo Vande Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417898 PECOS PAC ID: 4981947595 Enrollment ID: I20190523000726 |
| Provider Name | Natalie S Hutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033234414 PECOS PAC ID: 3779723499 Enrollment ID: I20190603001587 |
| Provider Name | Maggie a Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649831637 PECOS PAC ID: 4587993670 Enrollment ID: I20190916001977 |
| Provider Name | Daylon D Wigart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134682933 PECOS PAC ID: 8729318738 Enrollment ID: I20190917004077 |
| Provider Name | Egbert F Grinage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487093969 PECOS PAC ID: 8123245123 Enrollment ID: I20191210001191 |
| Provider Name | Lori a Iversen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558903914 PECOS PAC ID: 5991139594 Enrollment ID: I20200106003084 |
| Provider Name | Susan K Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295738789 PECOS PAC ID: 6305856428 Enrollment ID: I20200110001585 |
| Provider Name | Alyssa J Etzkorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235780883 PECOS PAC ID: 4688009459 Enrollment ID: I20200124001283 |
| Provider Name | Kimberly K Velk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669028197 PECOS PAC ID: 8628404373 Enrollment ID: I20200129000557 |
| Provider Name | Jacob Adam Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437538303 PECOS PAC ID: 6608113766 Enrollment ID: I20200302000112 |
| Provider Name | Samantha L Konechne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053920421 PECOS PAC ID: 0648698555 Enrollment ID: I20200909001666 |
| Provider Name | Mary F Ahlers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609301365 PECOS PAC ID: 9335551530 Enrollment ID: I20201211001819 |
| Provider Name | Katie L Tetzlaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104371897 PECOS PAC ID: 6800175407 Enrollment ID: I20210421001753 |
| Provider Name | Kiley Teresa Jo Kleve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235716598 PECOS PAC ID: 4587063326 Enrollment ID: I20210526003409 |
| Provider Name | Alena D Pinkelman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659946002 PECOS PAC ID: 1850793043 Enrollment ID: I20210709002958 |
| Provider Name | Tanya R Hagen-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336711472 PECOS PAC ID: 9335543289 Enrollment ID: I20210813002741 |
| Provider Name | Molly C Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285117028 PECOS PAC ID: 4486994688 Enrollment ID: I20210902002980 |
| Provider Name | Natalie a Mushitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912491077 PECOS PAC ID: 7517214760 Enrollment ID: I20210913002240 |
| Provider Name | Ashleigh E Eilts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164095113 PECOS PAC ID: 6608274386 Enrollment ID: I20211011001489 |
| Provider Name | Madelyn R Ponto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629740857 PECOS PAC ID: 6002205366 Enrollment ID: I20211109000277 |
| Provider Name | Marissia K Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801551544 PECOS PAC ID: 6709277320 Enrollment ID: I20211215001377 |
| Provider Name | Kassidy R Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629501077 PECOS PAC ID: 6507257094 Enrollment ID: I20211216001365 |
| Provider Name | Marissa Alexis Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396335287 PECOS PAC ID: 5496147662 Enrollment ID: I20220120000739 |
| Provider Name | Maureen Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815935 PECOS PAC ID: 5092108746 Enrollment ID: I20220202000993 |
| Provider Name | Samuel Hagman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225658297 PECOS PAC ID: 5294150298 Enrollment ID: I20220607000447 |
| Provider Name | Amy Sprague |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20220711001161 |
| Provider Name | Jonathan T Mochel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521861 PECOS PAC ID: 3173850682 Enrollment ID: I20220910000433 |
| Provider Name | Lyndsay R Symens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811620198 PECOS PAC ID: 9133505027 Enrollment ID: I20220929002488 |
| Provider Name | Tessa Warner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760911549 PECOS PAC ID: 7416223565 Enrollment ID: I20230322002501 |
| Provider Name | Mahalia N Kappes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399709 PECOS PAC ID: 5991170540 Enrollment ID: I20230412001843 |
| Provider Name | Kelsey M Bender |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356070577 PECOS PAC ID: 3678921848 Enrollment ID: I20231128003605 |
| Provider Name | Charissa M Etrheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192423 PECOS PAC ID: 2567884323 Enrollment ID: I20231204003399 |
| Provider Name | Jay Naoom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952003865 PECOS PAC ID: 0042678088 Enrollment ID: I20231212003664 |
| Provider Name | Julia Lynn Adee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366215154 PECOS PAC ID: 0648613208 Enrollment ID: I20240210000224 |
| Provider Name | Kayleigh E Jopson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669220687 PECOS PAC ID: 7113462367 Enrollment ID: I20240711002130 |
| Provider Name | Ty a Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932787017 PECOS PAC ID: 5890235089 Enrollment ID: I20240914000393 |
| Provider Name | Dalton C Baird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295363463 PECOS PAC ID: 5991127169 Enrollment ID: I20241001002796 |
| Provider Name | Megan L Hadley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144068925 PECOS PAC ID: 2466983960 Enrollment ID: I20241008004394 |
| Provider Name | Morgan L Derungs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235961905 PECOS PAC ID: 1557893641 Enrollment ID: I20241014004066 |
| Provider Name | Clara Kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437339496 PECOS PAC ID: 3476455247 Enrollment ID: I20241114004501 |
| Provider Name | Alexis J Havlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679397731 PECOS PAC ID: 5294259115 Enrollment ID: I20250411002223 |
| Provider Name | Aaron P Wenande |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225826126 PECOS PAC ID: 4082129341 Enrollment ID: I20250715003295 |
| Provider Name | Andrea Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953980 PECOS PAC ID: 2264815174 Enrollment ID: I20250809000002 |
| Provider Name | Michael J Jesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295169290 PECOS PAC ID: 5294964151 Enrollment ID: I20250814001345 |
| Provider Name | Biruk P.G. Gote |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851020481 PECOS PAC ID: 2860996006 Enrollment ID: I20250919000929 |
| Provider Name | Meghan De Jong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891599619 PECOS PAC ID: 3870097819 Enrollment ID: I20250929001299 |
| Provider Name | Jason J Steckley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871470146 PECOS PAC ID: 9931699121 Enrollment ID: I20251106001602 |
| Provider Name | Maria a Ludens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194475681 PECOS PAC ID: 9931583879 Enrollment ID: I20251209002587 |