Signify Health Medical Associates Of Kansas Llc - Medicare Primary Care in Wichita, KS

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Signify Health Medical Associates Of Kansas Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Wichita, Kansas. The current practice location for Signify Health Medical Associates Of Kansas Llc is 801 E Douglas Ave Fl 2, Wichita, Kansas. For appointments, you can reach them via phone at (877) 868-5351. The mailing address for Signify Health Medical Associates Of Kansas Llc is 4055 Valley View Ln Ste 700, Dallas, Texas and phone number is (877) 868-5351.

Signify Health Medical Associates Of Kansas Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780261701. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (877) 868-5351.

Contact Information

Signify Health Medical Associates Of Kansas Llc
801 E Douglas Ave Fl 2
Wichita
KS 67202-3548
(877) 868-5351
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSignify Health Medical Associates Of Kansas Llc
SpecialityClinic/Center
Location801 E Douglas Ave Fl 2, Wichita, Kansas
Authorized Official Name and PositionDavid Fairchild (PRESIDENT AND CHIEF MEDICAL OFFICE)
Authorized Official Contact8778685351
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Signify Health Medical Associates Of Kansas Llc
4055 Valley View Ln Ste 700
Dallas
TX 75244-5045

Ph: (877) 868-5351		Signify Health Medical Associates Of Kansas Llc
801 E Douglas Ave Fl 2
Wichita
KS 67202-3548

Ph: (877) 868-5351

NPI Details:

NPI Number1780261701
Provider Enumeration Date03/25/2021
Last Update Date10/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8628487998
Medicare Enrollment IDO20210518000551

Medical Identifiers

Medical identifiers for Signify Health Medical Associates Of Kansas Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780261701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Signify Health Medical Associates Of Kansas Llc acts as a billing entity for following providers:
Provider NameJulia M Hammett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982717427
PECOS PAC ID: 5991796054
Enrollment ID: I20040519000557
Provider NameJill M Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396744116
PECOS PAC ID: 8224006697
Enrollment ID: I20040923000100
Provider NameLorene L Stephan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073511523
PECOS PAC ID: 5092790063
Enrollment ID: I20050216000165
Provider NameMaren K Moody
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073765277
PECOS PAC ID: 0345282943
Enrollment ID: I20050524000911
Provider NameJean Suzanne Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497838544
PECOS PAC ID: 5193759553
Enrollment ID: I20050924000167
Provider NameJanet Cochran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407954977
PECOS PAC ID: 8325061799
Enrollment ID: I20060111001007
Provider NameMildred L Salkind
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932138740
PECOS PAC ID: 8224031323
Enrollment ID: I20060810000128
Provider NameAmy Meoli
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447209218
PECOS PAC ID: 3779596663
Enrollment ID: I20061130000300
Provider NameKaren Nauseda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669504346
PECOS PAC ID: 8527086479
Enrollment ID: I20070324000126
Provider NameKathryn V Works
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619099967
PECOS PAC ID: 5496854119
Enrollment ID: I20070621000194
Provider NameRachael S Crosby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396936423
PECOS PAC ID: 3173616125
Enrollment ID: I20070906000572
Provider NameToby Ann Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154513562
PECOS PAC ID: 9830290113
Enrollment ID: I20071023000379
Provider NameMelissa A Templin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306015060
PECOS PAC ID: 1355420241
Enrollment ID: I20080502000639
Provider NameNiorn Keonin Nicholas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952438228
PECOS PAC ID: 0749359594
Enrollment ID: I20080520000133
Provider NameHeather Marsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326233305
PECOS PAC ID: 2365512225
Enrollment ID: I20080604000022
Provider NameRegina L Heidner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740399542
PECOS PAC ID: 5597839720
Enrollment ID: I20080805000778
Provider NameAndrea O Eden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245456821
PECOS PAC ID: 5193892594
Enrollment ID: I20080926000625
Provider NameJennifer L Chance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861662561
PECOS PAC ID: 1658431093
Enrollment ID: I20081114000792
Provider NameJacquelyn Terry Logan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528244134
PECOS PAC ID: 1456412972
Enrollment ID: I20081202000858
Provider NameLamanda K Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023202413
PECOS PAC ID: 8729149281
Enrollment ID: I20081203000372
Provider NameShawn F Brigance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205816949
PECOS PAC ID: 0446297733
Enrollment ID: I20090121000286
Provider NameStacy L Wessley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760623011
PECOS PAC ID: 5799835245
Enrollment ID: I20090604000308
Provider NameEmily R Runyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285894709
PECOS PAC ID: 9335287036
Enrollment ID: I20091118000302
Provider NameDavid Brown
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083614291
PECOS PAC ID: 1759422876
Enrollment ID: I20100111000574
Provider NameJanice Needham-gagne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427164128
PECOS PAC ID: 2860517034
Enrollment ID: I20100910000641
Provider NameJulie Tan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174824718
PECOS PAC ID: 2062691249
Enrollment ID: I20110119001287
Provider NameAlison L Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750675245
PECOS PAC ID: 4183893688
Enrollment ID: I20110817000430
Provider NameJudith M Kimatu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962794586
PECOS PAC ID: 0648441881
Enrollment ID: I20110920000907
Provider NameSyed T Akhter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134408487
PECOS PAC ID: 2062686637
Enrollment ID: I20111116000370
Provider NameAmanda D Diskin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437430865
PECOS PAC ID: 4284893082
Enrollment ID: I20120314000762
Provider NameAllison M Veeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457656787
PECOS PAC ID: 4587825732
Enrollment ID: I20120413000682
Provider NameAshley Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790061968
PECOS PAC ID: 1153571237
Enrollment ID: I20121025000801
Provider NameTamara J Burke-moree
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285949883
PECOS PAC ID: 0749479012
Enrollment ID: I20130122000260
Provider NameLaurie Dolezal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316287550
PECOS PAC ID: 9830334564
Enrollment ID: I20130328000213
Provider NameNicole Kemp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447590641
PECOS PAC ID: 8325285265
Enrollment ID: I20130513000326
Provider NameAmanda Abasolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073946455
PECOS PAC ID: 6305071093
Enrollment ID: I20131105001774
Provider NameKathleen Kay Oliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659701480
PECOS PAC ID: 6608005236
Enrollment ID: I20140131000691
Provider NameBrenna Paige Winn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134542368
PECOS PAC ID: 9234369901
Enrollment ID: I20140224002038
Provider NameTanya R Robb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073941787
PECOS PAC ID: 2769612241
Enrollment ID: I20140228001538
Provider NameCheryl Rae Blank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407286479
PECOS PAC ID: 6901035179
Enrollment ID: I20140327001538
Provider NameKeri A Kavouras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780006585
PECOS PAC ID: 2961633342
Enrollment ID: I20140327002269
Provider NameHeather A Swanson Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992129985
PECOS PAC ID: 7113140872
Enrollment ID: I20140527001349
Provider NameJoshua Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295149086
PECOS PAC ID: 0648496356
Enrollment ID: I20140731002721
Provider NameSarah E Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013296805
PECOS PAC ID: 6406076918
Enrollment ID: I20141006000906
Provider NameChristy Marie Tennissen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063801157
PECOS PAC ID: 3072697481
Enrollment ID: I20150306001284
Provider NameTeresa Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346340312
PECOS PAC ID: 2163740556
Enrollment ID: I20150415001373
Provider NameAmanda S Stice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346631462
PECOS PAC ID: 3072831353
Enrollment ID: I20150416002113
Provider NameLydia Muttai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831514660
PECOS PAC ID: 2860711249
Enrollment ID: I20150506002218
Provider NameLarissa Michelle Gasaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144610049
PECOS PAC ID: 9931410222
Enrollment ID: I20150612000093
Provider NameKaren R Gage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952306516
PECOS PAC ID: 7315250727
Enrollment ID: I20150714002118
Provider NameNicole Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336533025
PECOS PAC ID: 6204141567
Enrollment ID: I20150814013971
Provider NameJennifer Jean Frerichs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154706430
PECOS PAC ID: 7315260981
Enrollment ID: I20150826002553
Provider NameNicole Friece Knust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538492053
PECOS PAC ID: 7416133301
Enrollment ID: I20150910001864
Provider NameAshleigh A Heter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740530062
PECOS PAC ID: 4688977358
Enrollment ID: I20160129001811
Provider NameSherry Lee Broadhurst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003271412
PECOS PAC ID: 9234431990
Enrollment ID: I20160229001038
Provider NameMargaret C Dietz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780061887
PECOS PAC ID: 7911219316
Enrollment ID: I20160510000875
Provider NameArika C Fanshier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821446568
PECOS PAC ID: 9537450432
Enrollment ID: I20160623002484
Provider NameValerie Njuguna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811340508
PECOS PAC ID: 7416241872
Enrollment ID: I20160808000979
Provider NameJennifer Anne Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437533106
PECOS PAC ID: 0143516419
Enrollment ID: I20160913001280
Provider NameKimberly K Flory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790234987
PECOS PAC ID: 9931285806
Enrollment ID: I20161017001655
Provider NameNga Vu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922268135
PECOS PAC ID: 2668750308
Enrollment ID: I20161031001656
Provider NameNatalie Y Saisi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841742046
PECOS PAC ID: 8729367347
Enrollment ID: I20161122000514
Provider NameNicole Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942744222
PECOS PAC ID: 1658652524
Enrollment ID: I20170109000907
Provider NameTamika M Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730623141
PECOS PAC ID: 9931480241
Enrollment ID: I20170209000188
Provider NameBethany Michelle Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740729870
PECOS PAC ID: 5294010278
Enrollment ID: I20170315000885
Provider NameKay Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164963849
PECOS PAC ID: 3476830506
Enrollment ID: I20170427001413
Provider NameNatalie Cocoziello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083860258
PECOS PAC ID: 3476774142
Enrollment ID: I20170613000051
Provider NameMaria Sheelene Goddard
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376798785
PECOS PAC ID: 7012156789
Enrollment ID: I20170628001777
Provider NameGina Peek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003223678
PECOS PAC ID: 8426327040
Enrollment ID: I20170712003602
Provider NamePinky Pratt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447564711
PECOS PAC ID: 6901083062
Enrollment ID: I20170712004010
Provider NameSara Koenemann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780046250
PECOS PAC ID: 8022317957
Enrollment ID: I20170823000481
Provider NameWhitney Blanton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861865131
PECOS PAC ID: 6103198213
Enrollment ID: I20170824002367
Provider NameAndrea Steele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801326905
PECOS PAC ID: 3173895109
Enrollment ID: I20170824003689
Provider NameMegan Michelle Feighny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972916583
PECOS PAC ID: 4880968270
Enrollment ID: I20170925000343
Provider NameTammy L Weeks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104344498
PECOS PAC ID: 8325305774
Enrollment ID: I20171120003607
Provider NameLisa A Cramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053842047
PECOS PAC ID: 3274810775
Enrollment ID: I20171121002993
Provider NameLaura M Davidson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609151216
PECOS PAC ID: 9638343817
Enrollment ID: I20171129002241
Provider NameBailey J Kuhlman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629587795
PECOS PAC ID: 1557628559
Enrollment ID: I20171129002459
Provider NameHannah Born
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134627946
PECOS PAC ID: 1850652264
Enrollment ID: I20180228000025
Provider NameGina Janea Abraham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033619085
PECOS PAC ID: 8325300916
Enrollment ID: I20180319002476
Provider NameNicole A Zwick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912406778
PECOS PAC ID: 9739442559
Enrollment ID: I20180409002358
Provider NameMelanie Dawn Emily
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760988000
PECOS PAC ID: 9537424080
Enrollment ID: I20180604001104
Provider NameJohn Phuoc Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851879753
PECOS PAC ID: 1759631732
Enrollment ID: I20180912003246
Provider NameCarla Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245747005
PECOS PAC ID: 0143572073
Enrollment ID: I20181004000623
Provider NameJaclyn Whitlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699252015
PECOS PAC ID: 4789936378
Enrollment ID: I20181009003418
Provider NameChelsea Rae Schroeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760953079
PECOS PAC ID: 4082951124
Enrollment ID: I20190128000438
Provider NameLauren Shelby Ewertz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275098204
PECOS PAC ID: 2567703473
Enrollment ID: I20190402002101
Provider NameJessica R Macmahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790256121
PECOS PAC ID: 6800138421
Enrollment ID: I20190501002338
Provider NameLisa A Gorges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447714134
PECOS PAC ID: 7719220649
Enrollment ID: I20190516002539
Provider NameTawni S Lehecka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588223366
PECOS PAC ID: 6901130863
Enrollment ID: I20190626001578
Provider NameJanie Kay Noll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912464892
PECOS PAC ID: 4082942552
Enrollment ID: I20190821002593
Provider NameAngela D Treanor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992350888
PECOS PAC ID: 0840529095
Enrollment ID: I20190912002732
Provider NameHollie Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447801493
PECOS PAC ID: 5496087942
Enrollment ID: I20191101001449
Provider NameRebecca Lorene Popp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255987079
PECOS PAC ID: 2264710490
Enrollment ID: I20191203000875
Provider NamePatricia Adrea Kanhai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750932091
PECOS PAC ID: 3870927726
Enrollment ID: I20191231000187
Provider NameAnn Ncekei Wairagu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417583584
PECOS PAC ID: 5799114674
Enrollment ID: I20200327000689
Provider NameChristine Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982235495
PECOS PAC ID: 7911337191
Enrollment ID: I20200501000920
Provider NameHeather D Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093337701
PECOS PAC ID: 5092137216
Enrollment ID: I20200617000439
Provider NameJane Swezey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801411962
PECOS PAC ID: 1355760935
Enrollment ID: I20200930003604
Provider NameDarlin Rose Ngo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033770631
PECOS PAC ID: 0648690024
Enrollment ID: I20201023002426
Provider NameNina Nadu K Lawson-moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619431608
PECOS PAC ID: 1557772878
Enrollment ID: I20201117003096
Provider NameJessica St. John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245632272
PECOS PAC ID: 4688997364
Enrollment ID: I20210112000213
Provider NameSara Ann Oberlander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326667155
PECOS PAC ID: 4284048992
Enrollment ID: I20210226001406
Provider NameTaylor Berner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376132324
PECOS PAC ID: 4284040007
Enrollment ID: I20210302003034
Provider NameJudith Anne Shilling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497355473
PECOS PAC ID: 3375950033
Enrollment ID: I20210324001639
Provider NameJoseph L Fryer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235720327
PECOS PAC ID: 3173930286
Enrollment ID: I20210407000845
Provider NameLindsay L Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932785961
PECOS PAC ID: 3577971217
Enrollment ID: I20210420000197
Provider NameMicha Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851903868
PECOS PAC ID: 5395144885
Enrollment ID: I20210603002222
Provider NameHuong V Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700480753
PECOS PAC ID: 8426451527
Enrollment ID: I20210727003577
Provider NameBarbara L Atkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407112121
PECOS PAC ID: 5395907505
Enrollment ID: I20210804002668
Provider NameAndrew S Frazier
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1902269566
PECOS PAC ID: 4981990421
Enrollment ID: I20210811003611
Provider NameAnjali Giri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437765013
PECOS PAC ID: 8921404807
Enrollment ID: I20210831003366
Provider NameJana M Goldberg
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477873768
PECOS PAC ID: 5799075933
Enrollment ID: I20210909001319
Provider NameCarrie Lin Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295338978
PECOS PAC ID: 3577960210
Enrollment ID: I20210923001488
Provider NameSarah N Rooker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013685494
PECOS PAC ID: 3375941438
Enrollment ID: I20211005001076
Provider NameJason Heflin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043829815
PECOS PAC ID: 7719379361
Enrollment ID: I20220112000525
Provider NameJessica L. Sylvester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598240392
PECOS PAC ID: 8820418924
Enrollment ID: I20220127002112
Provider NameKristin N Doll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255096558
PECOS PAC ID: 0941694467
Enrollment ID: I20220228000705
Provider NameAmanda D Copenhaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689264335
PECOS PAC ID: 3577958453
Enrollment ID: I20220310001856
Provider NameJennifer Marie Smith
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1497071005
PECOS PAC ID: 2769878321
Enrollment ID: I20220407000360
Provider NameTina Peck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275132136
PECOS PAC ID: 2264828797
Enrollment ID: I20220408000360
Provider NameChrisostom John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407442494
PECOS PAC ID: 2567869043
Enrollment ID: I20220408000417
Provider NameSierra Lanae Gilmartin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043843758
PECOS PAC ID: 3072900745
Enrollment ID: I20220427001618
Provider NameJohna Lea Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093484321
PECOS PAC ID: 9335536010
Enrollment ID: I20220427002089
Provider NameMarcella Ann Griffith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154656395
PECOS PAC ID: 6406243039
Enrollment ID: I20220428000941
Provider NameStephanie Anne Simons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811593320
PECOS PAC ID: 9830586460
Enrollment ID: I20220428001026
Provider NameRari Nicole Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740849876
PECOS PAC ID: 8325435969
Enrollment ID: I20220428001356
Provider NameJennifer Katherine Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659026938
PECOS PAC ID: 4587051990
Enrollment ID: I20220503000795
Provider NameBrianna Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043707854
PECOS PAC ID: 3476802471
Enrollment ID: I20220504001863
Provider NameBrenda Ann Henning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336808799
PECOS PAC ID: 8426227299
Enrollment ID: I20220602000787
Provider NameKierra Katreace Calico
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003567215
PECOS PAC ID: 3678951209
Enrollment ID: I20220609001661
Provider NameStacy Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114508298
PECOS PAC ID: 8820489545
Enrollment ID: I20220615000948
Provider NameCaitlin Jean Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285202028
PECOS PAC ID: 8426437336
Enrollment ID: I20220623002378
Provider NameAracely Del Real
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609522440
PECOS PAC ID: 1355722141
Enrollment ID: I20220726001657
Provider NameAmy Michelle Jarrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023758372
PECOS PAC ID: 1557743416
Enrollment ID: I20220809002462
Provider NameTenisha Edmiston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295285765
PECOS PAC ID: 1557780673
Enrollment ID: I20220818003431
Provider NameMary D Godornes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780270330
PECOS PAC ID: 9739562901
Enrollment ID: I20220822000227
Provider NameShelly Renae Pavlu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295369536
PECOS PAC ID: 3375863814
Enrollment ID: I20220928003248
Provider NameKatrina Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316665342
PECOS PAC ID: 8224414248
Enrollment ID: I20220928003277
Provider NameJoel M Adams
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1548614118
PECOS PAC ID: 7113328865
Enrollment ID: I20221028002357
Provider NameMichelle Huynh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134853690
PECOS PAC ID: 8123498284
Enrollment ID: I20230105002510
Provider NameBrittany Shingleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053905372
PECOS PAC ID: 5395116743
Enrollment ID: I20230120002595
Provider NameJayme Catherine Troup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720795164
PECOS PAC ID: 4183095540
Enrollment ID: I20230121000064
Provider NameLyla Jean Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427775816
PECOS PAC ID: 4688045008
Enrollment ID: I20230123002390
Provider NameSarah Grace Pageler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821663121
PECOS PAC ID: 1850795915
Enrollment ID: I20230127000348
Provider NameRebecca M. Lopez Molina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992421861
PECOS PAC ID: 2961873062
Enrollment ID: I20230128000044
Provider NameChristina Lai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780397265
PECOS PAC ID: 5294106399
Enrollment ID: I20230128000074
Provider NameJoseph W Stroud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033824669
PECOS PAC ID: 7113398058
Enrollment ID: I20230131003660
Provider NameHope Rodriquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194480269
PECOS PAC ID: 0143692947
Enrollment ID: I20230203001269
Provider NameKenyada J Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386200442
PECOS PAC ID: 4284006099
Enrollment ID: I20230203001469
Provider NameEdward Karanja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407455496
PECOS PAC ID: 9638541444
Enrollment ID: I20230203001484
Provider NameMelinda Pinel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619613072
PECOS PAC ID: 2163894973
Enrollment ID: I20230203001570
Provider NameStacie L Pruett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003546789
PECOS PAC ID: 4688046154
Enrollment ID: I20230209000954
Provider NameTheresa Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427647346
PECOS PAC ID: 9133511322
Enrollment ID: I20230215001741
Provider NameMicah James Forman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689972192
PECOS PAC ID: 6103000864
Enrollment ID: I20230215001921
Provider NameKieth Allen Hand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669562807
PECOS PAC ID: 9739489907
Enrollment ID: I20230215002327
Provider NameBrynn Houghton White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598124430
PECOS PAC ID: 0941506596
Enrollment ID: I20230215002373
Provider NamePaul John Joy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194303339
PECOS PAC ID: 8123412657
Enrollment ID: I20230216001538
Provider NameBarbara Anne Schaetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972102788
PECOS PAC ID: 6204209117
Enrollment ID: I20230223002005
Provider NameJennifer Rena Runge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235845272
PECOS PAC ID: 1850764184
Enrollment ID: I20230307000945
Provider NamePang Cheng Moua
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801436431
PECOS PAC ID: 6305210881
Enrollment ID: I20230323002532
Provider NameRenee Ann Schroeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407517113
PECOS PAC ID: 3173998762
Enrollment ID: I20230413000567
Provider NameShelly Ann House
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699472068
PECOS PAC ID: 2860867462
Enrollment ID: I20230413000730
Provider NameShawntai M Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992475644
PECOS PAC ID: 6305230616
Enrollment ID: I20230413000905
Provider NameMegan Leeann Sommer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013660760
PECOS PAC ID: 2163818519
Enrollment ID: I20230414000301
Provider NameElizabeth Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326744509
PECOS PAC ID: 4385019843
Enrollment ID: I20230414000512
Provider NameHeather Nicole Todd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366106163
PECOS PAC ID: 7719377761
Enrollment ID: I20230414000554
Provider NameVannie Dacaran Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619625746
PECOS PAC ID: 8022483353
Enrollment ID: I20230418002724
Provider NameBarby Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891435103
PECOS PAC ID: 1850756727
Enrollment ID: I20230427002221
Provider NameBenjamin Matthias Murbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316316698
PECOS PAC ID: 7214226208
Enrollment ID: I20230501000712
Provider NameToni Petralie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790403582
PECOS PAC ID: 9436514213
Enrollment ID: I20230501000778
Provider NameJazmine Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659755429
PECOS PAC ID: 4284942962
Enrollment ID: I20230501002249
Provider NameNicole Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184395220
PECOS PAC ID: 2163887688
Enrollment ID: I20230504002313
Provider NameEdith Np Cowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376284166
PECOS PAC ID: 5991160467
Enrollment ID: I20230516002712
Provider NameMeredith Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629793229
PECOS PAC ID: 0345606497
Enrollment ID: I20230516002981
Provider NameTamerayehu A Tolla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154020998
PECOS PAC ID: 2961868013
Enrollment ID: I20230516003094
Provider NameMark Richard Holscher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720313422
PECOS PAC ID: 7618334509
Enrollment ID: I20230608001058
Provider NameSeble Getahun Tafesse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942996327
PECOS PAC ID: 7911365572
Enrollment ID: I20230614002495
Provider NameJaneen Michelle White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942618111
PECOS PAC ID: 6709261829
Enrollment ID: I20230614002583
Provider NameLindsay Pescia Metcalfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235869116
PECOS PAC ID: 4981088697
Enrollment ID: I20230622000407
Provider NameJill S Burgen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497445100
PECOS PAC ID: 8921466020
Enrollment ID: I20230622000529
Provider NameKatherine Hollander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245858307
PECOS PAC ID: 4385002484
Enrollment ID: I20230622000542
Provider NameViolet A Gomes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407477
PECOS PAC ID: 2062870058
Enrollment ID: I20230623000898
Provider NameLindsey Mclaren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164122164
PECOS PAC ID: 7315306206
Enrollment ID: I20230711000527
Provider NameSidney Zimmerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992494330
PECOS PAC ID: 2961861745
Enrollment ID: I20230719003909
Provider NameDebbie Blocker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154941052
PECOS PAC ID: 0143681809
Enrollment ID: I20230728000756
Provider NameJoseph Senne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487236006
PECOS PAC ID: 6305208554
Enrollment ID: I20230821000291
Provider NameGloria Wiggins-aguilar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164826558
PECOS PAC ID: 2365805827
Enrollment ID: I20230830003752
Provider NameDshuanna Morgan Grice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649784919
PECOS PAC ID: 1658607437
Enrollment ID: I20231113000580
Provider NameHannah Ederle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306529110
PECOS PAC ID: 8325496896
Enrollment ID: I20231121002750
Provider NameSarah Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689454779
PECOS PAC ID: 2668820689
Enrollment ID: I20231204001144
Provider NameRenee Ann Roth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831829068
PECOS PAC ID: 3375992142
Enrollment ID: I20231206001236
Provider NameJordan Fisher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477013126
PECOS PAC ID: 3274920293
Enrollment ID: I20231211002366
Provider NameTricia Renee Brown-watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770287211
PECOS PAC ID: 8527417625
Enrollment ID: I20231214003097
Provider NameCindy Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184304693
PECOS PAC ID: 8729435573
Enrollment ID: I20231218003684
Provider NameJesse Estrada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871368522
PECOS PAC ID: 4587007257
Enrollment ID: I20240209000920
Provider NameSandra Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053691915
PECOS PAC ID: 0648432096
Enrollment ID: I20240209002842
Provider NameRebby Sang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306422910
PECOS PAC ID: 3870937568
Enrollment ID: I20240221002499
Provider NameMadhavi K Liyanage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366126898
PECOS PAC ID: 3072959626
Enrollment ID: I20240306001854
Provider NameLisa Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972257640
PECOS PAC ID: 9234576778
Enrollment ID: I20240320001624
Provider NameRachel Ann Jefferis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497351944
PECOS PAC ID: 4789021668
Enrollment ID: I20240327002538
Provider NameLaura Deware-jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114640935
PECOS PAC ID: 5395183826
Enrollment ID: I20240403002368
Provider NameMelissa Dusenberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174160485
PECOS PAC ID: 5991139909
Enrollment ID: I20240425002831
Provider NameTiffinie Hazen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780435115
PECOS PAC ID: 7315388998
Enrollment ID: I20240514001931
Provider NameAmbreen J Mohamed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437443637
PECOS PAC ID: 4183944788
Enrollment ID: I20240517002941
Provider NameAmanda Marie Poindexter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558791350
PECOS PAC ID: 7315176310
Enrollment ID: I20240520003267
Provider NameJyoti Aryal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700399136
PECOS PAC ID: 3072873447
Enrollment ID: I20240603003601
Provider NameRuby Perocho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710758743
PECOS PAC ID: 0840732632
Enrollment ID: I20240607002326
Provider NameValentina Almaraz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386419588
PECOS PAC ID: 5597012773
Enrollment ID: I20240612003223
Provider NameRachel Danielle Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023551116
PECOS PAC ID: 3577848001
Enrollment ID: I20240621000541
Provider NameKylie Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255061719
PECOS PAC ID: 5890150700
Enrollment ID: I20240622000425
Provider NameMegan Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336865039
PECOS PAC ID: 6204200215
Enrollment ID: I20240704000490
Provider NameErin L Ziccardi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861186710
PECOS PAC ID: 1658731914
Enrollment ID: I20240716001794
Provider NameMadeline M Simpson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457089120
PECOS PAC ID: 7719424225
Enrollment ID: I20240801003310
Provider NameLaura Fruci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558466292
PECOS PAC ID: 6002911039
Enrollment ID: I20240909001291
Provider NameRonda Lynn Reeves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104429802
PECOS PAC ID: 9133653975
Enrollment ID: I20241115000984
Provider NameHailey Stucky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578306502
PECOS PAC ID: 0345774030
Enrollment ID: I20241118002435
Provider NameHagop Veghia Sarkissian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982683421
PECOS PAC ID: 1850386400
Enrollment ID: I20241210002946
Provider NameAdam Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841626744
PECOS PAC ID: 4284860842
Enrollment ID: I20241228000127
Provider NameIbe Franca Ochuba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083450415
PECOS PAC ID: 1153841283
Enrollment ID: I20250220000189
Provider NameJessica Temm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487391520
PECOS PAC ID: 7618358094
Enrollment ID: I20250305001163

Reviews and Comments


Clinic/Center in Wichita, KS

Form Associates, P.a.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202
Phone: 617-505-1520    
Primary Care Associates, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206
Phone: 316-684-2851    
Substance Abuse At Hunter Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2318 E Central Ave, Wichita, KS 67214
Phone: 316-262-3611    Fax: 316-262-0741
Freestate Health Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4723 E Douglas Ave, Wichita, KS 67218
Phone: 888-505-1776    Fax: 888-505-1776
Centerwell Senior Primary Care Ks Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 961 S Glendale St, Wichita, KS 67218
Phone: 316-618-9555    
Robert A Sweet Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226
Phone: 316-260-4747    
World Impact, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208
Phone: 316-682-1880    

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

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

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

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