| Nurse Practitioner Services Of Michiana | |
|
5230 Beck Dr Ste 3 Elkhart IN 46516-9059 | |
| (574) 622-1522 | |
| (574) 699-1588 |
| Full Name | Nurse Practitioner Services Of Michiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 5230 Beck Dr Ste 3, Elkhart, Indiana |
| Authorized Official Name and Position | Kertes Stephanie (OWNER) |
| Authorized Official Contact | 5742743925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioner Services Of Michiana 5230 Beck Dr Ste 3 Elkhart IN 46516-9059 Ph: (574) 622-1522 | Nurse Practitioner Services Of Michiana 5230 Beck Dr Ste 3 Elkhart IN 46516-9059 Ph: (574) 622-1522 |
| NPI Number | 1225605207 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 4183024821 |
|---|---|
| Medicare Enrollment ID | O20210616003131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225605207 | NPI | - | NPPES |
| 201317770 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Stephanie Kay Kertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326414160 PECOS PAC ID: 7911215363 Enrollment ID: I20151005000415 |
Heart City Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-970-1441 Fax: 574-970-1449 | |
Privia Medical Group Indiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 W Lexington Ave, Elkhart, IN 46514 Phone: 574-296-3444 Fax: 574-296-3328 | |
Privia Medical Group Indiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2222 W Lexington Ave, Suite B, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 W Beardsley Ave, Elkhart, IN 46514 Phone: 773-697-3144 | |
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Osolo Rd Ste C, Elkhart, IN 46514 Phone: 574-266-6050 Fax: 574-262-8485 | |
Smr Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056 |