| Optima Medical | |
|
743 Miller Valley Rd Prescott AZ 86301-1813 | |
| (928) 777-9600 | |
| (855) 449-5560 |
| Full Name | Optima Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 743 Miller Valley Rd, Prescott, Arizona |
| Authorized Official Name and Position | Michael Victor O'neil (CEO) |
| Authorized Official Contact | 4809007256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Medical Po Box 5798 Scottsdale AZ 85261-5798 Ph: (928) 315-1510 | Optima Medical 743 Miller Valley Rd Prescott AZ 86301-1813 Ph: (928) 777-9600 |
| NPI Number | 1821454505 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Medicare PECOS PAC ID | 4385940295 |
|---|---|
| Medicare Enrollment ID | O20160302001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821454505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Julie L Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962456673 PECOS PAC ID: 7214834423 Enrollment ID: I20031216000668 |
| Provider Name | Christian L Grandell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588603542 PECOS PAC ID: 8527951938 Enrollment ID: I20040207000125 |
| Provider Name | Harry L Gale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194825828 PECOS PAC ID: 9133011521 Enrollment ID: I20040329001484 |
| Provider Name | Oscar E Andrade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275685521 PECOS PAC ID: 0345232757 Enrollment ID: I20040402000852 |
| Provider Name | Jose L Pierrend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518950161 PECOS PAC ID: 2769473933 Enrollment ID: I20040518001426 |
| Provider Name | Chad M Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982763470 PECOS PAC ID: 3678552692 Enrollment ID: I20040714001133 |
| Provider Name | Celia R Elias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192747 PECOS PAC ID: 4183604390 Enrollment ID: I20040720000989 |
| Provider Name | Javed a Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487652350 PECOS PAC ID: 8729063557 Enrollment ID: I20040812000909 |
| Provider Name | Peter Fred Levins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407876303 PECOS PAC ID: 4385603380 Enrollment ID: I20041006000220 |
| Provider Name | Ramon C Pascua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629027248 PECOS PAC ID: 9931169299 Enrollment ID: I20041012001140 |
| Provider Name | Blair T Butterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600219 PECOS PAC ID: 0244279263 Enrollment ID: I20050428001130 |
| Provider Name | Suzanne MP Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881659936 PECOS PAC ID: 0547201600 Enrollment ID: I20050518001109 |
| Provider Name | Santsaran C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316960016 PECOS PAC ID: 4789612698 Enrollment ID: I20050802000240 |
| Provider Name | Holly E Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194738674 PECOS PAC ID: 6709801467 Enrollment ID: I20051011001140 |
| Provider Name | Claude C Fosdick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568408516 PECOS PAC ID: 6305868134 Enrollment ID: I20051221000375 |
| Provider Name | Linda J Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291707 PECOS PAC ID: 2668496266 Enrollment ID: I20060123000490 |
| Provider Name | Kitrin L Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033118849 PECOS PAC ID: 9032128681 Enrollment ID: I20060411000199 |
| Provider Name | Timothy C Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831133743 PECOS PAC ID: 3577532878 Enrollment ID: I20060811000420 |
| Provider Name | Brenda Jean Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467409730 PECOS PAC ID: 3274538608 Enrollment ID: I20060919000087 |
| Provider Name | Leonardo C Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194798496 PECOS PAC ID: 9931156817 Enrollment ID: I20061120000445 |
| Provider Name | James J Marczak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720123805 PECOS PAC ID: 9133224231 Enrollment ID: I20070418000424 |
| Provider Name | Karen K Damgaard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376600171 PECOS PAC ID: 0042318941 Enrollment ID: I20070530000493 |
| Provider Name | Joel L Lippe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780882332 PECOS PAC ID: 2567553712 Enrollment ID: I20070802000410 |
| Provider Name | Joy Maines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790958866 PECOS PAC ID: 7517046535 Enrollment ID: I20080502000017 |
| Provider Name | Girolamo J Arpino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578710265 PECOS PAC ID: 4082780721 Enrollment ID: I20090625000524 |
| Provider Name | Keiko S Fakhraie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891991642 PECOS PAC ID: 9537212410 Enrollment ID: I20090727000196 |
| Provider Name | Anthony a Aghenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316084130 PECOS PAC ID: 5698813749 Enrollment ID: I20091110000247 |
| Provider Name | Harrison M Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447251798 PECOS PAC ID: 9436249604 Enrollment ID: I20100127000220 |
| Provider Name | Jeanette Anuddin Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891971628 PECOS PAC ID: 0042355414 Enrollment ID: I20100310000226 |
| Provider Name | Manila Bobba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144552431 PECOS PAC ID: 4688702608 Enrollment ID: I20100512001092 |
| Provider Name | Christina Goldstein-charbonneau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033252325 PECOS PAC ID: 8224931704 Enrollment ID: I20100819000215 |
| Provider Name | Nathan Eric Beneze |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346286325 PECOS PAC ID: 2365635356 Enrollment ID: I20101022000499 |
| Provider Name | Janina M Elkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164723300 PECOS PAC ID: 1456533835 Enrollment ID: I20110307000110 |
| Provider Name | Peggy a Towles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598768871 PECOS PAC ID: 2860432259 Enrollment ID: I20110329000965 |
| Provider Name | Shamina M Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316241649 PECOS PAC ID: 8325221203 Enrollment ID: I20110330000839 |
| Provider Name | Sara M Jiron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881982940 PECOS PAC ID: 2264699230 Enrollment ID: I20120202000099 |
| Provider Name | Dana M Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285905315 PECOS PAC ID: 4183886302 Enrollment ID: I20120507000030 |
| Provider Name | Scott A. Finkbeiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871566455 PECOS PAC ID: 6800706722 Enrollment ID: I20120816000294 |
| Provider Name | Susan M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255671780 PECOS PAC ID: 1557507308 Enrollment ID: I20130423000288 |
| Provider Name | Janelle K Romero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689901860 PECOS PAC ID: 1951549898 Enrollment ID: I20130604000666 |
| Provider Name | Aaron J Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306099155 PECOS PAC ID: 2769543057 Enrollment ID: I20130613000626 |
| Provider Name | Ruben a Damous |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538342779 PECOS PAC ID: 4082855978 Enrollment ID: I20130718000658 |
| Provider Name | Gary Milton Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733733 PECOS PAC ID: 3678563723 Enrollment ID: I20130909000719 |
| Provider Name | Colleen K Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154762888 PECOS PAC ID: 9436393303 Enrollment ID: I20130913000665 |
| Provider Name | Carolyn B Schooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083844757 PECOS PAC ID: 7113198466 Enrollment ID: I20130924000829 |
| Provider Name | Rachel S Herrin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043651540 PECOS PAC ID: 8123252236 Enrollment ID: I20131003000258 |
| Provider Name | Todd M Dreitzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063641686 PECOS PAC ID: 4981654944 Enrollment ID: I20131127000457 |
| Provider Name | Robert Bazaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487931770 PECOS PAC ID: 7315174307 Enrollment ID: I20131219000528 |
| Provider Name | Crystal Laura Voigt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578815023 PECOS PAC ID: 6901059955 Enrollment ID: I20140403001648 |
| Provider Name | Robin D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700291440 PECOS PAC ID: 5991923856 Enrollment ID: I20140905002523 |
| Provider Name | Nathan M Ostler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023412301 PECOS PAC ID: 5294957098 Enrollment ID: I20141111002002 |
| Provider Name | Jeff P Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851620231 PECOS PAC ID: 4183769656 Enrollment ID: I20141213000154 |
| Provider Name | Lisa a Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213422 PECOS PAC ID: 8022332923 Enrollment ID: I20150126000581 |
| Provider Name | Mary Lee Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327010 PECOS PAC ID: 3375789704 Enrollment ID: I20150304001788 |
| Provider Name | Brent M Kelsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891187340 PECOS PAC ID: 6103144001 Enrollment ID: I20150404000006 |
| Provider Name | Angela Marie Lipinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275911521 PECOS PAC ID: 8628381555 Enrollment ID: I20150721000797 |
| Provider Name | Anita Marie Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124321088 PECOS PAC ID: 2163659301 Enrollment ID: I20151027002864 |
| Provider Name | Sophia a Cyrus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952772212 PECOS PAC ID: 4981914165 Enrollment ID: I20151030002259 |
| Provider Name | Heather N Armbrust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373234 PECOS PAC ID: 6507176633 Enrollment ID: I20151102002265 |
| Provider Name | Phillip Wayne Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629471412 PECOS PAC ID: 1557671864 Enrollment ID: I20151116002660 |
| Provider Name | Jessica R. Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316316300 PECOS PAC ID: 0143525295 Enrollment ID: I20160226001438 |
| Provider Name | Lindsey Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104285253 PECOS PAC ID: 5294033841 Enrollment ID: I20160414000904 |
| Provider Name | John M Iverson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467864470 PECOS PAC ID: 6901024504 Enrollment ID: I20160511002776 |
| Provider Name | Elena S Shea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023150794 PECOS PAC ID: 7517091481 Enrollment ID: I20160524000667 |
| Provider Name | Terence Dale Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942246913 PECOS PAC ID: 9638082324 Enrollment ID: I20160615000008 |
| Provider Name | Haylee Gale Younis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881041200 PECOS PAC ID: 2769776517 Enrollment ID: I20160802002459 |
| Provider Name | Heike Hilker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447708680 PECOS PAC ID: 5890083844 Enrollment ID: I20161007000688 |
| Provider Name | Armando Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922389 PECOS PAC ID: 7012940273 Enrollment ID: I20161229001718 |
| Provider Name | Lynn M Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606793 PECOS PAC ID: 7618251018 Enrollment ID: I20170302002483 |
| Provider Name | Susan L Zook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437571023 PECOS PAC ID: 4688959513 Enrollment ID: I20170316000486 |
| Provider Name | Lisa Darrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830418 PECOS PAC ID: 3779868633 Enrollment ID: I20170316001450 |
| Provider Name | Gabbrielle Knabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891233896 PECOS PAC ID: 6901182617 Enrollment ID: I20170412001462 |
| Provider Name | Tina R Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215450374 PECOS PAC ID: 3779857628 Enrollment ID: I20170915003136 |
| Provider Name | Lyndsay Hafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477945095 PECOS PAC ID: 1355616657 Enrollment ID: I20171012003347 |
| Provider Name | Tatyana Erdmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073659611 PECOS PAC ID: 3375582232 Enrollment ID: I20171129001672 |
| Provider Name | Cari M Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518471689 PECOS PAC ID: 6507125630 Enrollment ID: I20180118001946 |
| Provider Name | Clarissa Michelle Saenz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467960773 PECOS PAC ID: 0446510622 Enrollment ID: I20180208000273 |
| Provider Name | Tess Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457705154 PECOS PAC ID: 3577824184 Enrollment ID: I20180222001235 |
| Provider Name | Shantell Leann Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417490756 PECOS PAC ID: 2264715150 Enrollment ID: I20180226002697 |
| Provider Name | Chiou-yan Lai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801347901 PECOS PAC ID: 3971864265 Enrollment ID: I20180301001176 |
| Provider Name | Bonnie H Gehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598288144 PECOS PAC ID: 2961765722 Enrollment ID: I20180410001365 |
| Provider Name | Dae Woong Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386132652 PECOS PAC ID: 8820352289 Enrollment ID: I20180510002170 |
| Provider Name | John E Glazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285636126 PECOS PAC ID: 3971528837 Enrollment ID: I20180723002464 |
| Provider Name | April C Going |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700363991 PECOS PAC ID: 7416206040 Enrollment ID: I20180815002119 |
| Provider Name | Amy Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356830574 PECOS PAC ID: 1355692153 Enrollment ID: I20180918001448 |
| Provider Name | Joshua James Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285012666 PECOS PAC ID: 9032462239 Enrollment ID: I20181105000768 |
| Provider Name | Madison Zaugra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285114579 PECOS PAC ID: 7911243977 Enrollment ID: I20190111000831 |
| Provider Name | Dustin a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443995 PECOS PAC ID: 2860734142 Enrollment ID: I20190507002162 |
| Provider Name | April Glenda David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972083566 PECOS PAC ID: 0648513309 Enrollment ID: I20190520002970 |
| Provider Name | Shawncey Mcpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831546043 PECOS PAC ID: 7911299466 Enrollment ID: I20190605002654 |
| Provider Name | Shirene Kim Woodham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326527508 PECOS PAC ID: 3274863139 Enrollment ID: I20190919002691 |
| Provider Name | Nathaniel a Welly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881741726 PECOS PAC ID: 3577853910 Enrollment ID: I20191002001983 |
| Provider Name | Tammy Lynn Tunis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447809926 PECOS PAC ID: 3779919949 Enrollment ID: I20200206001358 |
| Provider Name | Danielle Marie Durnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306181656 PECOS PAC ID: 0749617546 Enrollment ID: I20200217000693 |
| Provider Name | Sara C Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326513136 PECOS PAC ID: 5092142778 Enrollment ID: I20200218002130 |
| Provider Name | Jeremy David Bird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194350454 PECOS PAC ID: 6709216104 Enrollment ID: I20200427002579 |
| Provider Name | Nicole a Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972158624 PECOS PAC ID: 3678901790 Enrollment ID: I20200723000990 |
| Provider Name | Raven Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841772282 PECOS PAC ID: 8426472226 Enrollment ID: I20200727002845 |
| Provider Name | Amie Seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032203 PECOS PAC ID: 4486070307 Enrollment ID: I20200821001624 |
| Provider Name | Patricia Ann Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730718610 PECOS PAC ID: 5597182840 Enrollment ID: I20200901001239 |
| Provider Name | Heather Buttrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033738901 PECOS PAC ID: 2062832686 Enrollment ID: I20201021001051 |
| Provider Name | Aric Ra-sean Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245843465 PECOS PAC ID: 2567872625 Enrollment ID: I20201102001524 |
| Provider Name | Kelly P Harte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437536158 PECOS PAC ID: 9436468980 Enrollment ID: I20201124002191 |
| Provider Name | Sydney Paden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689282287 PECOS PAC ID: 2365853207 Enrollment ID: I20201124002533 |
| Provider Name | Karolyn Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427664192 PECOS PAC ID: 0941611651 Enrollment ID: I20201202001288 |
| Provider Name | Jocelyn Rose Pawlicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356964522 PECOS PAC ID: 8325451743 Enrollment ID: I20210104001260 |
| Provider Name | Yvette Dawn Grijalva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477187557 PECOS PAC ID: 0446664684 Enrollment ID: I20210128001746 |
| Provider Name | Stephen Michael Panosian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093355430 PECOS PAC ID: 5294149993 Enrollment ID: I20210302000791 |
| Provider Name | Mary Massieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144644287 PECOS PAC ID: 0840501201 Enrollment ID: I20210311003043 |
| Provider Name | Elizabeth a Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265058796 PECOS PAC ID: 9335556927 Enrollment ID: I20210326001176 |
| Provider Name | Carolyn Louise Kathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194368530 PECOS PAC ID: 6608284567 Enrollment ID: I20210414002632 |
| Provider Name | Garrett Montoya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043891070 PECOS PAC ID: 6709286149 Enrollment ID: I20210607002450 |
| Provider Name | Theresa a Eblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568036812 PECOS PAC ID: 4880095033 Enrollment ID: I20210625001694 |
| Provider Name | Rachel Margaret Greatwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912431800 PECOS PAC ID: 9739512534 Enrollment ID: I20210713000462 |
| Provider Name | Mara Dawne Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038044 PECOS PAC ID: 7113329111 Enrollment ID: I20210714000173 |
| Provider Name | Jonathon Christopher Rutt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689343402 PECOS PAC ID: 9032515341 Enrollment ID: I20210913002013 |
| Provider Name | Camilla L Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407159288 PECOS PAC ID: 0446405807 Enrollment ID: I20210920000669 |
| Provider Name | Erin Jean Mcmanus-tomanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425123 PECOS PAC ID: 5092126573 Enrollment ID: I20210927000176 |
| Provider Name | Lindsey N Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306426739 PECOS PAC ID: 3971901323 Enrollment ID: I20211014003357 |
| Provider Name | Jennifer N Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679832943 PECOS PAC ID: 0446648430 Enrollment ID: I20211025000911 |
| Provider Name | Tracey Lynn Tinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982697 PECOS PAC ID: 8820486590 Enrollment ID: I20211028003245 |
| Provider Name | Blondena U Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013580687 PECOS PAC ID: 9133519309 Enrollment ID: I20211201002556 |
| Provider Name | Craig a Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528150455 PECOS PAC ID: 6103720222 Enrollment ID: I20211208001938 |
| Provider Name | Loida Loyola Arquiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932732633 PECOS PAC ID: 5597177113 Enrollment ID: I20220126000539 |
| Provider Name | Eric Clayton Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577810 PECOS PAC ID: 6800228396 Enrollment ID: I20220201000749 |
| Provider Name | Shannon Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740838945 PECOS PAC ID: 8527451947 Enrollment ID: I20220208001538 |
| Provider Name | Cynthia L Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426330 PECOS PAC ID: 0042604365 Enrollment ID: I20220303000383 |
| Provider Name | Tamila J Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799018 PECOS PAC ID: 2163817792 Enrollment ID: I20220318000168 |
| Provider Name | Brett Allen Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992452411 PECOS PAC ID: 5395131445 Enrollment ID: I20220330000324 |
| Provider Name | Bryan Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184377889 PECOS PAC ID: 8022404839 Enrollment ID: I20220404002141 |
| Provider Name | Lisa R. Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356094353 PECOS PAC ID: 6800273871 Enrollment ID: I20220512000599 |
| Provider Name | Mehrdod Eleezeh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588190730 PECOS PAC ID: 1557525490 Enrollment ID: I20220607001364 |
| Provider Name | Galena Ellan Dapra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588196612 PECOS PAC ID: 3072993021 Enrollment ID: I20220707003088 |
| Provider Name | Margo Lidia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301812 PECOS PAC ID: 8123408069 Enrollment ID: I20220708002356 |
| Provider Name | Elizabeth Grace Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437809258 PECOS PAC ID: 4082098363 Enrollment ID: I20220906001858 |
| Provider Name | Stephanie L Pettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124756218 PECOS PAC ID: 1254717671 Enrollment ID: I20221007000680 |
| Provider Name | Dania E Mancha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730811837 PECOS PAC ID: 6901272210 Enrollment ID: I20221011002239 |
| Provider Name | Vilma M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548989577 PECOS PAC ID: 4183090442 Enrollment ID: I20221012001578 |
| Provider Name | Noura Louise Eleid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457685984 PECOS PAC ID: 7719354414 Enrollment ID: I20221109003229 |
| Provider Name | Gbemisola Yemisi Chukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750037909 PECOS PAC ID: 1355719949 Enrollment ID: I20221202000756 |
| Provider Name | Joshua Aaron Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336873249 PECOS PAC ID: 8527437169 Enrollment ID: I20221203000397 |
| Provider Name | Karen S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184884447 PECOS PAC ID: 0042273088 Enrollment ID: I20221227002151 |
| Provider Name | Lindsey Allyson Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558083964 PECOS PAC ID: 3476923434 Enrollment ID: I20230109000648 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043923295 PECOS PAC ID: 4486027257 Enrollment ID: I20230224001887 |
| Provider Name | Michelle Joy Soliven Rabara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043892250 PECOS PAC ID: 3870966492 Enrollment ID: I20230302000239 |
| Provider Name | Stephanie Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871109017 PECOS PAC ID: 9830563949 Enrollment ID: I20230313000927 |
| Provider Name | Zobia Zafar Wasielczyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659952513 PECOS PAC ID: 7911371703 Enrollment ID: I20230317000752 |
| Provider Name | Katy Dodt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710609128 PECOS PAC ID: 9436523073 Enrollment ID: I20230321002206 |
| Provider Name | Shannon Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609454 PECOS PAC ID: 5294109757 Enrollment ID: I20230323001615 |
| Provider Name | Samuel Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649972431 PECOS PAC ID: 1456725795 Enrollment ID: I20230328000923 |
| Provider Name | Taylor Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891480588 PECOS PAC ID: 2961877469 Enrollment ID: I20230414002219 |
| Provider Name | Crystal Loreen Aroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962191700 PECOS PAC ID: 0547248890 Enrollment ID: I20230607001968 |
| Provider Name | Julie D Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245268788 PECOS PAC ID: 5395899769 Enrollment ID: I20230620002172 |
| Provider Name | Ashley M Mulder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104455989 PECOS PAC ID: 0749648988 Enrollment ID: I20230621001827 |
| Provider Name | Jacob Bigelow Gorsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285327411 PECOS PAC ID: 7517325335 Enrollment ID: I20230626002584 |
| Provider Name | Mary Katherine Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821787300 PECOS PAC ID: 5890154637 Enrollment ID: I20230711002747 |
| Provider Name | Jung Baccam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891495131 PECOS PAC ID: 8123488061 Enrollment ID: I20230724002735 |
| Provider Name | Tyler C Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427735323 PECOS PAC ID: 6800257973 Enrollment ID: I20230804003497 |
| Provider Name | Lirio Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629767876 PECOS PAC ID: 8628431715 Enrollment ID: I20230822002507 |
| Provider Name | Lawrence Rothenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809367 PECOS PAC ID: 2961452552 Enrollment ID: I20230823002694 |
| Provider Name | Junnesh Moushi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083395966 PECOS PAC ID: 6901260439 Enrollment ID: I20230915002002 |
| Provider Name | Jeramie Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447036025 PECOS PAC ID: 4880048222 Enrollment ID: I20231003003788 |
| Provider Name | Joseph a Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760639892 PECOS PAC ID: 8921167289 Enrollment ID: I20231009003161 |
| Provider Name | Matthew Olsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710698725 PECOS PAC ID: 0042665838 Enrollment ID: I20231013002893 |
| Provider Name | Charis Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649685322 PECOS PAC ID: 7214382803 Enrollment ID: I20231017003517 |
| Provider Name | Matthew Downey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215662184 PECOS PAC ID: 8224484746 Enrollment ID: I20231019001878 |
| Provider Name | Kaley M Bertrand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346912821 PECOS PAC ID: 1355797630 Enrollment ID: I20231023001518 |
| Provider Name | Noushin Emami |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356052369 PECOS PAC ID: 4981050234 Enrollment ID: I20231024001087 |
| Provider Name | Jace Egbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194356238 PECOS PAC ID: 0941656086 Enrollment ID: I20231026001625 |
| Provider Name | Seth Six |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164039988 PECOS PAC ID: 3678985645 Enrollment ID: I20231031003772 |
| Provider Name | Sarah Kaplan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982796553 PECOS PAC ID: 0446277768 Enrollment ID: I20231102002403 |
| Provider Name | Madison Schelhaas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922889377 PECOS PAC ID: 2264889336 Enrollment ID: I20231110001110 |
| Provider Name | Kristin Nichole Marth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972284131 PECOS PAC ID: 1759731532 Enrollment ID: I20231219003589 |
| Provider Name | Racquel Pilar Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083488308 PECOS PAC ID: 3779934401 Enrollment ID: I20240108000887 |
| Provider Name | Benjamin Vandersommen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376315598 PECOS PAC ID: 6507218625 Enrollment ID: I20240113000842 |
| Provider Name | Therese John Mccalden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710693353 PECOS PAC ID: 2567805542 Enrollment ID: I20240206004790 |
| Provider Name | Alexa M Scanlan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447973300 PECOS PAC ID: 0749626323 Enrollment ID: I20240306002771 |
| Provider Name | Riley Kathleen Hordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467222174 PECOS PAC ID: 3476999822 Enrollment ID: I20240308000164 |
| Provider Name | Shanna Lynn Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457650459 PECOS PAC ID: 1850692195 Enrollment ID: I20240312003455 |
| Provider Name | Shannon R Clint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609638311 PECOS PAC ID: 5890131577 Enrollment ID: I20240316000488 |
| Provider Name | Mariyah Marisella Bejarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235995853 PECOS PAC ID: 7315384237 Enrollment ID: I20240327000440 |
| Provider Name | Kelsey Granger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760255863 PECOS PAC ID: 1254779010 Enrollment ID: I20240329002190 |
| Provider Name | Heather Rose Moutvic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316718737 PECOS PAC ID: 1456799766 Enrollment ID: I20240405001415 |
| Provider Name | Jamie Lee Simonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831836055 PECOS PAC ID: 6507205010 Enrollment ID: I20240417001240 |
| Provider Name | Rachel Elizabeth Vers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144072174 PECOS PAC ID: 6901245281 Enrollment ID: I20240419000216 |
| Provider Name | Jeffrey L Cox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417482761 PECOS PAC ID: 9537415534 Enrollment ID: I20240517002134 |
| Provider Name | Anmol Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124873690 PECOS PAC ID: 2062853211 Enrollment ID: I20240518000345 |
| Provider Name | April Janae Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538915905 PECOS PAC ID: 6709228802 Enrollment ID: I20240521002018 |
| Provider Name | Judith L Trevisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760842512 PECOS PAC ID: 5890092688 Enrollment ID: I20240529002889 |
| Provider Name | Julia Jennifer Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509383 PECOS PAC ID: 7012359342 Enrollment ID: I20240531000967 |
| Provider Name | Jessica Lynn Hoxie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255171351 PECOS PAC ID: 6305388596 Enrollment ID: I20240603003446 |
| Provider Name | Daniel Mark Gust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740032309 PECOS PAC ID: 9638611866 Enrollment ID: I20240604000588 |
| Provider Name | Shannon Maeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427804608 PECOS PAC ID: 0244772200 Enrollment ID: I20240605001562 |
| Provider Name | Jessica Ginn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710734256 PECOS PAC ID: 9537601372 Enrollment ID: I20240607000453 |
| Provider Name | Christopher Thomas Mallavarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649273715 PECOS PAC ID: 5991695934 Enrollment ID: I20240621000207 |
| Provider Name | Pamela Carole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982445953 PECOS PAC ID: 8224125174 Enrollment ID: I20240624000707 |
| Provider Name | Grace Chien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164262143 PECOS PAC ID: 7719421932 Enrollment ID: I20240628002244 |
| Provider Name | Sarah Lynn Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700648128 PECOS PAC ID: 4486198041 Enrollment ID: I20240708000520 |
| Provider Name | Kamani Ngozi Abarikwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639929011 PECOS PAC ID: 3072058809 Enrollment ID: I20240716003315 |
| Provider Name | Crystal Ann Eidenschink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215624457 PECOS PAC ID: 5799220588 Enrollment ID: I20240717000523 |
| Provider Name | Erin Renee Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366282352 PECOS PAC ID: 3779029368 Enrollment ID: I20240718004243 |
| Provider Name | Hunter Mackenzie Okeson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871065979 PECOS PAC ID: 0143766311 Enrollment ID: I20240724000843 |
| Provider Name | Lauren M Jacobsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205563046 PECOS PAC ID: 0244777613 Enrollment ID: I20240802001081 |
| Provider Name | Madison Christine Kowalski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881431351 PECOS PAC ID: 7416494802 Enrollment ID: I20240802001981 |
| Provider Name | Taytum Rae Cecilia Vermilyea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295573434 PECOS PAC ID: 3476090622 Enrollment ID: I20240806000335 |
| Provider Name | Alyssa Kae Wahlstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588492151 PECOS PAC ID: 7012454143 Enrollment ID: I20240806004149 |
| Provider Name | Madison Grace Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689416794 PECOS PAC ID: 2163969080 Enrollment ID: I20240808002861 |
| Provider Name | Abegayle Marie Alejano Borro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932823275 PECOS PAC ID: 9638618549 Enrollment ID: I20240822004785 |
| Provider Name | Ashley Ann White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619678224 PECOS PAC ID: 7214476886 Enrollment ID: I20240827002652 |
| Provider Name | Kinsey Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255189098 PECOS PAC ID: 6103365713 Enrollment ID: I20240827004138 |
| Provider Name | Morgan a Weaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427889005 PECOS PAC ID: 8022557313 Enrollment ID: I20240830000904 |
| Provider Name | April Monique Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376373134 PECOS PAC ID: 5294274304 Enrollment ID: I20240903001710 |
| Provider Name | Nicolette Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255169314 PECOS PAC ID: 4183083686 Enrollment ID: I20240911002261 |
| Provider Name | Alie Jreisat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578130555 PECOS PAC ID: 5496295685 Enrollment ID: I20240914000561 |
| Provider Name | Jenniffer Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265804124 PECOS PAC ID: 6002357902 Enrollment ID: I20240918004666 |
| Provider Name | Christina Rose Bugliarello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205603297 PECOS PAC ID: 6800327164 Enrollment ID: I20240927001724 |
| Provider Name | Lionel Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285460303 PECOS PAC ID: 0941685077 Enrollment ID: I20240927002311 |
| Provider Name | Evelina Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790478634 PECOS PAC ID: 3870940356 Enrollment ID: I20241004001257 |
| Provider Name | Traci Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225570005 PECOS PAC ID: 3476085457 Enrollment ID: I20241015003254 |
| Provider Name | Austin John Harmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528758265 PECOS PAC ID: 6103358825 Enrollment ID: I20241018000504 |
| Provider Name | Scott Adam Gregorowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023844388 PECOS PAC ID: 3476085036 Enrollment ID: I20241021002238 |
| Provider Name | Donald Vincent Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659191906 PECOS PAC ID: 2062945314 Enrollment ID: I20241025000834 |
| Provider Name | Candace Nysted |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164996922 PECOS PAC ID: 0244600690 Enrollment ID: I20241029000688 |
| Provider Name | Kathleen Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528891488 PECOS PAC ID: 4880128735 Enrollment ID: I20241114001715 |
| Provider Name | Heather Ann Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861226664 PECOS PAC ID: 9234664939 Enrollment ID: I20241118003431 |
| Provider Name | Jami Hayes Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558184150 PECOS PAC ID: 4789119058 Enrollment ID: I20241122002478 |
| Provider Name | Carol Ann Mayflower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215753488 PECOS PAC ID: 4183151616 Enrollment ID: I20241223002443 |
| Provider Name | Lauren Taylor Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295502284 PECOS PAC ID: 6406384536 Enrollment ID: I20250116002281 |
| Provider Name | Dianne R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205650785 PECOS PAC ID: 7911436464 Enrollment ID: I20250128004080 |
| Provider Name | Emily Aileen Vogelsberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336958883 PECOS PAC ID: 6103356043 Enrollment ID: I20250207001610 |
| Provider Name | Christie Patricia Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982417622 PECOS PAC ID: 6800326463 Enrollment ID: I20250211003934 |
| Provider Name | Alma Alejandra Tinoco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437964509 PECOS PAC ID: 5395275754 Enrollment ID: I20250214000001 |
| Provider Name | Samareea Daquator Tesia Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013739523 PECOS PAC ID: 2769912161 Enrollment ID: I20250214001764 |
| Provider Name | Quinten Michael Permenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003500968 PECOS PAC ID: 8123548633 Enrollment ID: I20250226003327 |
| Provider Name | Donna M Sharman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003502196 PECOS PAC ID: 2668992173 Enrollment ID: I20250226003399 |
| Provider Name | Mary Renay Huegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497576599 PECOS PAC ID: 3274054465 Enrollment ID: I20250304002400 |
| Provider Name | Gracelyn Sales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760294144 PECOS PAC ID: 5597286526 Enrollment ID: I20250306003059 |
| Provider Name | Stacy Thornley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477379121 PECOS PAC ID: 2062934896 Enrollment ID: I20250320002610 |
| Provider Name | Dinapoles Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003159070 PECOS PAC ID: 7719364363 Enrollment ID: I20250327001501 |
| Provider Name | Rance Kendreick Manalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396550539 PECOS PAC ID: 8426573411 Enrollment ID: I20250423000261 |
| Provider Name | Alyssa Brianne Mull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730981838 PECOS PAC ID: 6800313578 Enrollment ID: I20250506002255 |
| Provider Name | Peter Khai Hoan Duong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336964022 PECOS PAC ID: 2769909308 Enrollment ID: I20250507002988 |
| Provider Name | Morgan R Nickless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619660651 PECOS PAC ID: 3476092412 Enrollment ID: I20250509001890 |
| Provider Name | Christina Rozelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619779139 PECOS PAC ID: 5395262406 Enrollment ID: I20250512001601 |
| Provider Name | Geralda B Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447048335 PECOS PAC ID: 6204355597 Enrollment ID: I20250529002820 |
| Provider Name | Julia Chavez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841704715 PECOS PAC ID: 4385175132 Enrollment ID: I20250603002824 |
| Provider Name | Cynthia Ohonba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811705387 PECOS PAC ID: 1557870151 Enrollment ID: I20250604002798 |
| Provider Name | Miryam Rose Knigge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396530697 PECOS PAC ID: 3173032695 Enrollment ID: I20250604003304 |
| Provider Name | Katrina Noelle Troyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942001409 PECOS PAC ID: 2163932583 Enrollment ID: I20250605003071 |
| Provider Name | Rey Plasabas Roferos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427825462 PECOS PAC ID: 8820508617 Enrollment ID: I20250610003795 |
| Provider Name | Mariangela Ernestina Reynoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992599401 PECOS PAC ID: 6709396336 Enrollment ID: I20250611002975 |
| Provider Name | Jill Chokshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831829092 PECOS PAC ID: 6204347164 Enrollment ID: I20250617002938 |
| Provider Name | Dhara Chokshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740910900 PECOS PAC ID: 6204347115 Enrollment ID: I20250617003925 |
| Provider Name | Amber Nunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184429904 PECOS PAC ID: 9032620638 Enrollment ID: I20250619000253 |
| Provider Name | Nancy Dianne Schaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164242061 PECOS PAC ID: 8123535028 Enrollment ID: I20250725003838 |
| Provider Name | Deana Marie Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932092905 PECOS PAC ID: 6709394661 Enrollment ID: I20250801002452 |
| Provider Name | Ashleigh Cseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013707983 PECOS PAC ID: 6800395781 Enrollment ID: I20250818002676 |
| Provider Name | Kelsey N.S. Pangelinan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023881331 PECOS PAC ID: 7012416787 Enrollment ID: I20250819002630 |
| Provider Name | Kyrie Jae Nicolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598446437 PECOS PAC ID: 7214436815 Enrollment ID: I20250820000769 |
| Provider Name | Emily Rose Garcia-wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457234726 PECOS PAC ID: 6709386089 Enrollment ID: I20250821002428 |
| Provider Name | Natasha Swedlund-poeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184508251 PECOS PAC ID: 5698276178 Enrollment ID: I20250827002525 |
| Provider Name | Monique Renne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417833989 PECOS PAC ID: 1254833718 Enrollment ID: I20250904004802 |
| Provider Name | Devin Erin Eagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497433874 PECOS PAC ID: 5698277010 Enrollment ID: I20250905001131 |
| Provider Name | Brenden Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184480147 PECOS PAC ID: 1052814332 Enrollment ID: I20250912000004 |
| Provider Name | Mikayla Isabel Mularoni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699657841 PECOS PAC ID: 3274037940 Enrollment ID: I20250916003584 |
| Provider Name | Kodee Avery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891501599 PECOS PAC ID: 7315442324 Enrollment ID: I20250922003529 |
| Provider Name | Mason Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083420780 PECOS PAC ID: 4385149483 Enrollment ID: I20250926004175 |
| Provider Name | Puja Chhetri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619783313 PECOS PAC ID: 0547766842 Enrollment ID: I20251006000835 |
| Provider Name | Christen Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912637471 PECOS PAC ID: 0941798342 Enrollment ID: I20251017003895 |
| Provider Name | Caroline Nicole Claypool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922997717 PECOS PAC ID: 0244728004 Enrollment ID: I20251023000789 |
| Provider Name | Peter Michael Bidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265244800 PECOS PAC ID: 3870678808 Enrollment ID: I20251024001023 |
| Provider Name | Ruth Grace Wanjiru |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871309583 PECOS PAC ID: 3375032311 Enrollment ID: I20251029003842 |
| Provider Name | Scholastica Masioge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538991575 PECOS PAC ID: 1658860408 Enrollment ID: I20251030004265 |
| Provider Name | Isabelle Samarah Azar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053127753 PECOS PAC ID: 3072005420 Enrollment ID: I20251122001294 |
| Provider Name | Nicholas Phair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770324725 PECOS PAC ID: 9335631464 Enrollment ID: I20251125002942 |
| Provider Name | James Rima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043051162 PECOS PAC ID: 2466944384 Enrollment ID: I20251126002269 |
| Provider Name | Jennifer Diane Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841164266 PECOS PAC ID: 8527554229 Enrollment ID: I20260101000260 |
| Provider Name | Kavita Devi Jaikaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922607043 PECOS PAC ID: 4284110164 Enrollment ID: I20260109003046 |
| Provider Name | Sibongile Cherry Mpofu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770455065 PECOS PAC ID: 0042797391 Enrollment ID: I20260116003860 |
| Provider Name | Cayden Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902648256 PECOS PAC ID: 0446738041 Enrollment ID: I20260203002989 |
| Provider Name | Emmaline N Bellows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912748062 PECOS PAC ID: 4880173038 Enrollment ID: I20260208000227 |
| Provider Name | Savanna Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275491516 PECOS PAC ID: 9638659451 Enrollment ID: I20260219000498 |
| Provider Name | Elwood James Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164388161 PECOS PAC ID: 9931681715 Enrollment ID: I20260302001515 |
| Provider Name | Maya Alberta Lessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861825671 PECOS PAC ID: 7416182423 Enrollment ID: I20260306003441 |
| Provider Name | Velta Jean Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194682799 PECOS PAC ID: 0345723060 Enrollment ID: I20260311001962 |
| Provider Name | Hanna Mariz Bauto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316806615 PECOS PAC ID: 9234614611 Enrollment ID: I20260402003311 |
| Provider Name | Katharine Eakin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417763111 PECOS PAC ID: 9739654666 Enrollment ID: I20260408003445 |
| Provider Name | Ara Beth Avakian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427569292 PECOS PAC ID: 9335614155 Enrollment ID: I20260409001712 |
| Provider Name | Sophia Lallinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629937347 PECOS PAC ID: 7113493701 Enrollment ID: I20260421001432 |
| Provider Name | Phillip Wayne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326874074 PECOS PAC ID: 0749757045 Enrollment ID: I20260423002261 |
| Provider Name | Shauna Lynn Marlowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588202048 PECOS PAC ID: 2264874486 Enrollment ID: I20260424000899 |
| Provider Name | Alma Judith Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225980659 PECOS PAC ID: 1052888294 Enrollment ID: I20260424003299 |
| Provider Name | Alaina Metz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518773217 PECOS PAC ID: 1355818964 Enrollment ID: I20260430002470 |
| Provider Name | Nicol Shantel Ebanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467306217 PECOS PAC ID: 6608344072 Enrollment ID: I20260504007407 |
| Provider Name | Jessica R Wipprecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871038257 PECOS PAC ID: 6204119381 Enrollment ID: I20260508002769 |
| Provider Name | Sandra Esmeralda Aguayo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144900044 PECOS PAC ID: 6002351954 Enrollment ID: I20260511001418 |
| Provider Name | Ellen Rebecca Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881550762 PECOS PAC ID: 6103394903 Enrollment ID: I20260511001739 |
Agmc - Crossings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3777 Crossings Dr, Prescott, AZ 86305 Phone: 928-771-9693 Fax: 928-708-0505 |
Ellen F Bunch MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 |
Hillside Outpatient Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Prescott, AZ 86305 Phone: 928-445-5211 Fax: 928-776-8484 |
Verde Valley Guidance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146 |
Bryan L Abramowitz MD Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 W Kelly Dr, Prescott, AZ 86305 Phone: 858-836-2491 Fax: 858-338-8522 |
Fred S Markham MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 |