| Vpa PC Specialty Int Mi | |
|
2725 Airview Blvd Ste 105 Portage MI 49002-1804 | |
| (248) 434-6184 | |
| (855) 618-6655 |
| Full Name | Vpa PC Specialty Int Mi |
|---|---|
| Speciality | Family Medicine |
| Location | 2725 Airview Blvd Ste 105, Portage, Michigan |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2484346184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa PC Specialty Int Mi Po Box 40412 Belfast ME 04915-1255 Ph: (248) 266-4200 | Vpa PC Specialty Int Mi 2725 Airview Blvd Ste 105 Portage MI 49002-1804 Ph: (248) 434-6184 |
| NPI Number | 1669091864 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/17/2026 |
| Certification Date | 04/17/2026 |
| Medicare PECOS PAC ID | 9234041948 |
|---|---|
| Medicare Enrollment ID | O20031103000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669091864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 208000000X | Pediatrics | (NU) | Secondary |
| 208D00000X | General Practice | (NU) | Secondary |
| Provider Name | Umeika Griffith Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851329338 PECOS PAC ID: 2668372582 Enrollment ID: I20040108001114 |
| Provider Name | Sarah Anne Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285666701 PECOS PAC ID: 1557261245 Enrollment ID: I20040109000715 |
| Provider Name | Jaime T Yambao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033167226 PECOS PAC ID: 2567355969 Enrollment ID: I20040207000088 |
| Provider Name | Jose Paez Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497706410 PECOS PAC ID: 5092607317 Enrollment ID: I20040329001774 |
| Provider Name | Russell Diponio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003893330 PECOS PAC ID: 4981698750 Enrollment ID: I20040413001803 |
| Provider Name | Kenneth J Tobin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700962727 PECOS PAC ID: 3072507631 Enrollment ID: I20040414001363 |
| Provider Name | Cassandra Wormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217437 PECOS PAC ID: 2365423167 Enrollment ID: I20040527000465 |
| Provider Name | Preston D Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427018571 PECOS PAC ID: 0042295586 Enrollment ID: I20040621000337 |
| Provider Name | Michael W Borgeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073614251 PECOS PAC ID: 4082690417 Enrollment ID: I20040626000387 |
| Provider Name | Daniel Thomas Carrel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831127158 PECOS PAC ID: 0345226783 Enrollment ID: I20040626000404 |
| Provider Name | Susan E Little Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366530941 PECOS PAC ID: 9931185931 Enrollment ID: I20040629001105 |
| Provider Name | Satish B Salvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275589509 PECOS PAC ID: 1951219989 Enrollment ID: I20040721000416 |
| Provider Name | Jeffrey M Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992769285 PECOS PAC ID: 5395719009 Enrollment ID: I20040819001177 |
| Provider Name | Edith Nemeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841391133 PECOS PAC ID: 1759350986 Enrollment ID: I20040924000961 |
| Provider Name | James Sterling Cabeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740275981 PECOS PAC ID: 5698737930 Enrollment ID: I20041101000149 |
| Provider Name | Robert William Schmitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144232505 PECOS PAC ID: 4284691791 Enrollment ID: I20041216000451 |
| Provider Name | John Duhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821043613 PECOS PAC ID: 0840241683 Enrollment ID: I20050209000292 |
| Provider Name | George a Kodsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568449882 PECOS PAC ID: 7517905243 Enrollment ID: I20050421001445 |
| Provider Name | Catherine Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770565632 PECOS PAC ID: 3971542481 Enrollment ID: I20050425001048 |
| Provider Name | Debra J Gaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063501765 PECOS PAC ID: 6800830654 Enrollment ID: I20050614000138 |
| Provider Name | Dianne K Junior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003806688 PECOS PAC ID: 9335175363 Enrollment ID: I20050712000331 |
| Provider Name | Vida H Klott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144326737 PECOS PAC ID: 1052338597 Enrollment ID: I20051025000184 |
| Provider Name | Christie Ann Schunemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013909001 PECOS PAC ID: 9436176559 Enrollment ID: I20051028000113 |
| Provider Name | Katrina Denise Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053399337 PECOS PAC ID: 2961423173 Enrollment ID: I20051215000641 |
| Provider Name | Jennifer a Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467538504 PECOS PAC ID: 9436165776 Enrollment ID: I20060224000019 |
| Provider Name | Sheila M Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891880712 PECOS PAC ID: 9537168463 Enrollment ID: I20061204000245 |
| Provider Name | Lynn Beatty Athens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164522785 PECOS PAC ID: 6901805795 Enrollment ID: I20061205000112 |
| Provider Name | Amy Oldejans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687978 PECOS PAC ID: 4284633413 Enrollment ID: I20061215000242 |
| Provider Name | Tracey E Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710091376 PECOS PAC ID: 3274533930 Enrollment ID: I20070102000344 |
| Provider Name | Amanda M Huver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619960598 PECOS PAC ID: 1658371182 Enrollment ID: I20070108000362 |
| Provider Name | Tonya M Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518966001 PECOS PAC ID: 0648372045 Enrollment ID: I20070302000140 |
| Provider Name | Shivakumar Reddy Deva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750427159 PECOS PAC ID: 1658474879 Enrollment ID: I20070308000409 |
| Provider Name | Erica L Markovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457410375 PECOS PAC ID: 1254434939 Enrollment ID: I20070319000186 |
| Provider Name | Clarisse M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932247889 PECOS PAC ID: 3173628468 Enrollment ID: I20070416000117 |
| Provider Name | Elizabeth Eden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841278645 PECOS PAC ID: 8527157346 Enrollment ID: I20071203000048 |
| Provider Name | Ramin Rafie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558471326 PECOS PAC ID: 7416034004 Enrollment ID: I20080407000521 |
| Provider Name | Mark F Gillette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043482680 PECOS PAC ID: 3375622350 Enrollment ID: I20080501000451 |
| Provider Name | Edgar a Pou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588794523 PECOS PAC ID: 1153492244 Enrollment ID: I20080617000617 |
| Provider Name | Rigel M Galera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023297967 PECOS PAC ID: 9133292188 Enrollment ID: I20080723000870 |
| Provider Name | Kelly L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629198478 PECOS PAC ID: 6103991930 Enrollment ID: I20080813000655 |
| Provider Name | Marianne Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053577163 PECOS PAC ID: 3870661374 Enrollment ID: I20081010000473 |
| Provider Name | Flura Salman Dawde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518171230 PECOS PAC ID: 7113086471 Enrollment ID: I20081101000109 |
| Provider Name | Kari L Hoekstra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295983518 PECOS PAC ID: 8820157183 Enrollment ID: I20081101000131 |
| Provider Name | Matthew Mcdonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730338393 PECOS PAC ID: 2567525579 Enrollment ID: I20090116000079 |
| Provider Name | Cheryl M Jusela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598950263 PECOS PAC ID: 8921163122 Enrollment ID: I20090224000070 |
| Provider Name | Janet M Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952554057 PECOS PAC ID: 6305903055 Enrollment ID: I20090324000431 |
| Provider Name | Eunice Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114196748 PECOS PAC ID: 5698842888 Enrollment ID: I20090604000392 |
| Provider Name | Robert S Vaidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891910105 PECOS PAC ID: 6507918927 Enrollment ID: I20090716000160 |
| Provider Name | Karen a Thornburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003938119 PECOS PAC ID: 3375697337 Enrollment ID: I20090811000328 |
| Provider Name | Orest J Sowirka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396720561 PECOS PAC ID: 8022164060 Enrollment ID: I20090916000711 |
| Provider Name | Barbara L Ciesliga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851525802 PECOS PAC ID: 8426104381 Enrollment ID: I20090917000159 |
| Provider Name | Mounir B Mikhaeil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134452501 PECOS PAC ID: 1153467410 Enrollment ID: I20090930000512 |
| Provider Name | Alison J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326255746 PECOS PAC ID: 8628114659 Enrollment ID: I20091006000267 |
| Provider Name | Dietmar J Grentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346269586 PECOS PAC ID: 6901942341 Enrollment ID: I20091015000164 |
| Provider Name | Kirk J Wojno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386620730 PECOS PAC ID: 3678534815 Enrollment ID: I20100106000365 |
| Provider Name | Marie E Mateo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558327023 PECOS PAC ID: 7416933619 Enrollment ID: I20100111000371 |
| Provider Name | Joseph Armovit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457308330 PECOS PAC ID: 9032251871 Enrollment ID: I20100116000357 |
| Provider Name | Michael H Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770790982 PECOS PAC ID: 6002958840 Enrollment ID: I20100116000381 |
| Provider Name | Jason Wulff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615777 PECOS PAC ID: 0244374858 Enrollment ID: I20100220000285 |
| Provider Name | Jim F Orosz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346337193 PECOS PAC ID: 9133264062 Enrollment ID: I20100303000804 |
| Provider Name | Mark R Beard |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003070723 PECOS PAC ID: 2860517810 Enrollment ID: I20100914000535 |
| Provider Name | Samir Bateriwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073835476 PECOS PAC ID: 7618162652 Enrollment ID: I20101116000498 |
| Provider Name | Kelli a Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821318981 PECOS PAC ID: 5890982086 Enrollment ID: I20101214000991 |
| Provider Name | Purvaj Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730344029 PECOS PAC ID: 8820279474 Enrollment ID: I20110302000249 |
| Provider Name | Jennifer M Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101159 PECOS PAC ID: 5597947721 Enrollment ID: I20110309000927 |
| Provider Name | Holly Weissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144524521 PECOS PAC ID: 1850575523 Enrollment ID: I20110405000854 |
| Provider Name | Michael a Amlog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215196225 PECOS PAC ID: 4688852809 Enrollment ID: I20110616000798 |
| Provider Name | Christine S Vesnaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538447453 PECOS PAC ID: 5294993606 Enrollment ID: I20120214000782 |
| Provider Name | Angela Ruby Yurk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538368006 PECOS PAC ID: 3779741996 Enrollment ID: I20120220000732 |
| Provider Name | Thomas P Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992887905 PECOS PAC ID: 2769641430 Enrollment ID: I20120315000651 |
| Provider Name | Prashanti Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952578056 PECOS PAC ID: 1254591761 Enrollment ID: I20120320000928 |
| Provider Name | Ronald Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629335948 PECOS PAC ID: 3476626177 Enrollment ID: I20120511000539 |
| Provider Name | Gary D Poelman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336261395 PECOS PAC ID: 7810151529 Enrollment ID: I20120608000504 |
| Provider Name | Melanie T Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326357013 PECOS PAC ID: 6204092901 Enrollment ID: I20120725000126 |
| Provider Name | Alexander Cusmano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164757514 PECOS PAC ID: 2062678618 Enrollment ID: I20120725000844 |
| Provider Name | Varinia Urday Gamalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033314869 PECOS PAC ID: 0749436806 Enrollment ID: I20120807000070 |
| Provider Name | Nicole Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096004 PECOS PAC ID: 1052562212 Enrollment ID: I20121115000570 |
| Provider Name | Angel S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639425267 PECOS PAC ID: 7315190477 Enrollment ID: I20130123000547 |
| Provider Name | Melissa Mariutza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457607251 PECOS PAC ID: 9830344233 Enrollment ID: I20130311000497 |
| Provider Name | Kristina Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962755058 PECOS PAC ID: 3476798455 Enrollment ID: I20130321000564 |
| Provider Name | Kimberly Denise Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388448 PECOS PAC ID: 4385881903 Enrollment ID: I20130518000073 |
| Provider Name | Miriam Yvonne Veldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295965499 PECOS PAC ID: 9032360474 Enrollment ID: I20130930000229 |
| Provider Name | Jacklyn M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522267 PECOS PAC ID: 2466687462 Enrollment ID: I20131029001041 |
| Provider Name | Lindsey Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093028854 PECOS PAC ID: 8022244102 Enrollment ID: I20131119001934 |
| Provider Name | Mary E Kocenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104456 PECOS PAC ID: 3375773179 Enrollment ID: I20140221001493 |
| Provider Name | Almeta M Andary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987188 PECOS PAC ID: 6204066343 Enrollment ID: I20140311000980 |
| Provider Name | Christie Y Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780019265 PECOS PAC ID: 7517199409 Enrollment ID: I20140408000553 |
| Provider Name | Shelia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747311 PECOS PAC ID: 5294966479 Enrollment ID: I20140421000486 |
| Provider Name | Sheila S Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639593361 PECOS PAC ID: 7214150069 Enrollment ID: I20140522002195 |
| Provider Name | Erin Leigh-darlington Rockwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235410762 PECOS PAC ID: 8921238619 Enrollment ID: I20140806000148 |
| Provider Name | Harshini a Jayasuriya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507833 PECOS PAC ID: 9931326923 Enrollment ID: I20140815000059 |
| Provider Name | Roslyn D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526363 PECOS PAC ID: 5395962104 Enrollment ID: I20140818002255 |
| Provider Name | Ramona K Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316009665 PECOS PAC ID: 5092722199 Enrollment ID: I20140930002714 |
| Provider Name | Topaz Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151993 PECOS PAC ID: 8628298932 Enrollment ID: I20141009001102 |
| Provider Name | Bridget Ann Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012308 PECOS PAC ID: 3779703889 Enrollment ID: I20141013000098 |
| Provider Name | Nancy L Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005884 PECOS PAC ID: 0648443069 Enrollment ID: I20141117000593 |
| Provider Name | Erin K Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505336 PECOS PAC ID: 5799007753 Enrollment ID: I20141201002232 |
| Provider Name | Marquetta Y Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629400270 PECOS PAC ID: 2365767159 Enrollment ID: I20150219002055 |
| Provider Name | Rhiannon G Freiberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801289459 PECOS PAC ID: 3779800867 Enrollment ID: I20150330001913 |
| Provider Name | Amanda L Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699013268 PECOS PAC ID: 8628396587 Enrollment ID: I20150406001881 |
| Provider Name | Nancy Byington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841689585 PECOS PAC ID: 3072831593 Enrollment ID: I20150414000925 |
| Provider Name | Ashley Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427442243 PECOS PAC ID: 8022338904 Enrollment ID: I20150515001259 |
| Provider Name | Emily Eliza Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215322805 PECOS PAC ID: 4486974953 Enrollment ID: I20150522002097 |
| Provider Name | Andrea Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398827 PECOS PAC ID: 0042531295 Enrollment ID: I20150601000501 |
| Provider Name | Sukhpreet K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336401124 PECOS PAC ID: 3678706645 Enrollment ID: I20150615000336 |
| Provider Name | Beth a Palmateer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417338914 PECOS PAC ID: 4486967148 Enrollment ID: I20150723008840 |
| Provider Name | Nik Gjurashaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366705949 PECOS PAC ID: 7315179801 Enrollment ID: I20150727002060 |
| Provider Name | Rajan Dewar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306952510 PECOS PAC ID: 6204831829 Enrollment ID: I20150821013552 |
| Provider Name | Jennifer L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141822 PECOS PAC ID: 9931415429 Enrollment ID: I20150828001201 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922476373 PECOS PAC ID: 9537476114 Enrollment ID: I20150915000307 |
| Provider Name | Justin M Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807933 PECOS PAC ID: 6901113240 Enrollment ID: I20150917002808 |
| Provider Name | Shawn M Gorkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801625 PECOS PAC ID: 2163730847 Enrollment ID: I20150929002692 |
| Provider Name | Adrienne Nalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511080 PECOS PAC ID: 3375843618 Enrollment ID: I20151118001901 |
| Provider Name | Angela C Ricaurte-valle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750637583 PECOS PAC ID: 3072752922 Enrollment ID: I20160125001759 |
| Provider Name | Joseph V. Zarrillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295931699 PECOS PAC ID: 0345543138 Enrollment ID: I20160128001977 |
| Provider Name | Ivette M Zarrillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295931772 PECOS PAC ID: 0244534923 Enrollment ID: I20160201002824 |
| Provider Name | Mimoza Zaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786954 PECOS PAC ID: 1850697533 Enrollment ID: I20160307000480 |
| Provider Name | Stacy Meitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205297876 PECOS PAC ID: 0547567802 Enrollment ID: I20160331001023 |
| Provider Name | Catherine Simeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366793168 PECOS PAC ID: 6103056627 Enrollment ID: I20160408000775 |
| Provider Name | Erika B Prisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019653 PECOS PAC ID: 3577862523 Enrollment ID: I20160426002100 |
| Provider Name | Eunice Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356607881 PECOS PAC ID: 2264681204 Enrollment ID: I20160516002192 |
| Provider Name | Christinie a Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134582828 PECOS PAC ID: 2860782984 Enrollment ID: I20160602000292 |
| Provider Name | Sunita Pudasaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255532 PECOS PAC ID: 4284926452 Enrollment ID: I20160707002524 |
| Provider Name | Seth G Hauschild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952747883 PECOS PAC ID: 8123349479 Enrollment ID: I20160721000101 |
| Provider Name | Kimberly Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258627 PECOS PAC ID: 7315231016 Enrollment ID: I20160803001005 |
| Provider Name | Julia Lee Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561188 PECOS PAC ID: 2163717893 Enrollment ID: I20160819001779 |
| Provider Name | Jason E Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003269895 PECOS PAC ID: 8224324066 Enrollment ID: I20160906000221 |
| Provider Name | Angela T Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104299163 PECOS PAC ID: 7113224734 Enrollment ID: I20160912000760 |
| Provider Name | John a Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659828663 PECOS PAC ID: 9032407978 Enrollment ID: I20161010001846 |
| Provider Name | Aleisha Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700233889 PECOS PAC ID: 4486932571 Enrollment ID: I20161025000059 |
| Provider Name | Dayna Buiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247779 PECOS PAC ID: 6507146768 Enrollment ID: I20161205000641 |
| Provider Name | Jean-luc Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457302747 PECOS PAC ID: 2466469127 Enrollment ID: I20170123000410 |
| Provider Name | Klajdi Ndini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239026 PECOS PAC ID: 7214210061 Enrollment ID: I20170202000052 |
| Provider Name | Juan Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351495 PECOS PAC ID: 3476837212 Enrollment ID: I20170223000453 |
| Provider Name | Dequindra Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417303355 PECOS PAC ID: 3173807419 Enrollment ID: I20170303001827 |
| Provider Name | Stacey L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548602162 PECOS PAC ID: 2668757667 Enrollment ID: I20170313002285 |
| Provider Name | Joji Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902341043 PECOS PAC ID: 9537444138 Enrollment ID: I20170322001532 |
| Provider Name | Shantae Monae Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406752 PECOS PAC ID: 3870878010 Enrollment ID: I20170330000760 |
| Provider Name | Philecia Benman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992241103 PECOS PAC ID: 5991081127 Enrollment ID: I20170424001298 |
| Provider Name | Kelsey Kurtenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376089086 PECOS PAC ID: 6406133693 Enrollment ID: I20170425001660 |
| Provider Name | Antonya D Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954301 PECOS PAC ID: 5395062848 Enrollment ID: I20170615000880 |
| Provider Name | John P Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689082539 PECOS PAC ID: 1850669300 Enrollment ID: I20170626000120 |
| Provider Name | Tracy L Maue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750819801 PECOS PAC ID: 3678842051 Enrollment ID: I20170628000161 |
| Provider Name | Michelle Gingrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356861801 PECOS PAC ID: 8527337419 Enrollment ID: I20170710000620 |
| Provider Name | William Dobie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265640049 PECOS PAC ID: 5395821433 Enrollment ID: I20170809001053 |
| Provider Name | Mary Katherine Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415474 PECOS PAC ID: 2365717378 Enrollment ID: I20171002000378 |
| Provider Name | Danielle Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336668854 PECOS PAC ID: 9830465913 Enrollment ID: I20171017001914 |
| Provider Name | Badawi Abdellatif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376740548 PECOS PAC ID: 3173899150 Enrollment ID: I20171018001918 |
| Provider Name | Stephanie Marie Piazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891209391 PECOS PAC ID: 2466719422 Enrollment ID: I20171129001054 |
| Provider Name | Stephanie Kay Kertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326414160 PECOS PAC ID: 7911215363 Enrollment ID: I20171228000072 |
| Provider Name | Laura M Winkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083083547 PECOS PAC ID: 1052611035 Enrollment ID: I20180202000451 |
| Provider Name | Caroline Michelle Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084133 PECOS PAC ID: 2062772007 Enrollment ID: I20180212001882 |
| Provider Name | Angelique Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477876019 PECOS PAC ID: 2365704814 Enrollment ID: I20180320003272 |
| Provider Name | Alexa Rae Stortz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083120497 PECOS PAC ID: 2860754066 Enrollment ID: I20180328002146 |
| Provider Name | Porcha Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508393711 PECOS PAC ID: 0345503157 Enrollment ID: I20180409002014 |
| Provider Name | Danielle Marie Sawdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730542564 PECOS PAC ID: 8325347222 Enrollment ID: I20180501000202 |
| Provider Name | Lu Ying Hei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285122713 PECOS PAC ID: 3971867581 Enrollment ID: I20180508001132 |
| Provider Name | Christine Boven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093205817 PECOS PAC ID: 7517222375 Enrollment ID: I20180525000995 |
| Provider Name | Michele Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003269192 PECOS PAC ID: 2264709526 Enrollment ID: I20180531001654 |
| Provider Name | Nada Sareini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578069357 PECOS PAC ID: 4284654310 Enrollment ID: I20180604001174 |
| Provider Name | Lavonne L Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981292 PECOS PAC ID: 1951657592 Enrollment ID: I20180711003610 |
| Provider Name | Chia Hui Neilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447744727 PECOS PAC ID: 0941557896 Enrollment ID: I20180724000271 |
| Provider Name | Uzair a Munshey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841671146 PECOS PAC ID: 2264747427 Enrollment ID: I20180725001375 |
| Provider Name | Kristopher Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588449 PECOS PAC ID: 0840593547 Enrollment ID: I20180803000556 |
| Provider Name | Shera C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598244246 PECOS PAC ID: 6709136039 Enrollment ID: I20180907001880 |
| Provider Name | Hana H Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061501 PECOS PAC ID: 9537411566 Enrollment ID: I20181002003195 |
| Provider Name | Vy T Than |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466368 PECOS PAC ID: 1658623814 Enrollment ID: I20181016003277 |
| Provider Name | Gillian Margaret Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872279 PECOS PAC ID: 2860746807 Enrollment ID: I20181112000108 |
| Provider Name | Dawn Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922590512 PECOS PAC ID: 4587908611 Enrollment ID: I20181130000927 |
| Provider Name | Robert M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740757418 PECOS PAC ID: 5597009365 Enrollment ID: I20181205001025 |
| Provider Name | Kelly a Schultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861975476 PECOS PAC ID: 8022352657 Enrollment ID: I20181207001083 |
| Provider Name | Latanya Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396140372 PECOS PAC ID: 0143564658 Enrollment ID: I20181210001575 |
| Provider Name | Shannon M Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538630587 PECOS PAC ID: 0244577187 Enrollment ID: I20190130001318 |
| Provider Name | Haley Dawn Dontje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803193 PECOS PAC ID: 9537407085 Enrollment ID: I20190208001506 |
| Provider Name | Debbie Alger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982113817 PECOS PAC ID: 1759629579 Enrollment ID: I20190220001813 |
| Provider Name | Stephen D Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700885498 PECOS PAC ID: 1850289307 Enrollment ID: I20190228001789 |
| Provider Name | Luzia Tuggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104123751 PECOS PAC ID: 4789869496 Enrollment ID: I20190308000136 |
| Provider Name | Shirley Marie Vicente-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558835595 PECOS PAC ID: 2567702939 Enrollment ID: I20190321000609 |
| Provider Name | Theonna Monique Hindmon-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003381500 PECOS PAC ID: 3577805837 Enrollment ID: I20190507001254 |
| Provider Name | Danmar T Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104384106 PECOS PAC ID: 2062755721 Enrollment ID: I20190521000107 |
| Provider Name | Georgia Olga Pozios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013449859 PECOS PAC ID: 4486997863 Enrollment ID: I20190529000516 |
| Provider Name | Amy Nicole Meints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602434 PECOS PAC ID: 8325371404 Enrollment ID: I20190604002321 |
| Provider Name | James H Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497217822 PECOS PAC ID: 3577898204 Enrollment ID: I20190717001587 |
| Provider Name | Elizabeth Ann Habrecht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639736994 PECOS PAC ID: 4284963224 Enrollment ID: I20190917000856 |
| Provider Name | Jennifer Datzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568005569 PECOS PAC ID: 3870825326 Enrollment ID: I20191101001381 |
| Provider Name | Nichole Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720584899 PECOS PAC ID: 5597190447 Enrollment ID: I20200122003168 |
| Provider Name | Francesca V Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821561838 PECOS PAC ID: 6103254255 Enrollment ID: I20200324000590 |
| Provider Name | Ladawn Denise Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482692 PECOS PAC ID: 0042640682 Enrollment ID: I20200422000126 |
| Provider Name | Mohamad Hamdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134652209 PECOS PAC ID: 1658792783 Enrollment ID: I20200602001152 |
| Provider Name | Kristi K Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609954585 PECOS PAC ID: 8224030424 Enrollment ID: I20200915001333 |
| Provider Name | Ermira Dinkollari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592712 PECOS PAC ID: 4981023504 Enrollment ID: I20201001001223 |
| Provider Name | Rebecca Jo Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515586 PECOS PAC ID: 0345660221 Enrollment ID: I20201014002022 |
| Provider Name | Ashley Ruth Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700412582 PECOS PAC ID: 9638599558 Enrollment ID: I20201015000136 |
| Provider Name | Sena Yehya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825371 PECOS PAC ID: 2668882887 Enrollment ID: I20201029000640 |
| Provider Name | Kristin Elizabeth Dunaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831797638 PECOS PAC ID: 2860802337 Enrollment ID: I20201112000631 |
| Provider Name | Katie Arno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720616477 PECOS PAC ID: 9537570932 Enrollment ID: I20201116000559 |
| Provider Name | Kayla Marie Sterrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097321 PECOS PAC ID: 5799197588 Enrollment ID: I20201221001055 |
| Provider Name | Robert Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548870769 PECOS PAC ID: 2860805157 Enrollment ID: I20210105002617 |
| Provider Name | Hang Thanh Ruzycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730794330 PECOS PAC ID: 7810300654 Enrollment ID: I20210115000443 |
| Provider Name | Sarah R Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528681681 PECOS PAC ID: 5890102693 Enrollment ID: I20210323001277 |
| Provider Name | Amy M Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702810 PECOS PAC ID: 8123435245 Enrollment ID: I20210407001541 |
| Provider Name | Azra Abbasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871196014 PECOS PAC ID: 5395153423 Enrollment ID: I20210409000412 |
| Provider Name | Wei Luo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528659836 PECOS PAC ID: 7618385212 Enrollment ID: I20210420002659 |
| Provider Name | Deandra Stibich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982299962 PECOS PAC ID: 4385052638 Enrollment ID: I20210426002118 |
| Provider Name | Amanda Katherine Chmielewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831712025 PECOS PAC ID: 0648689752 Enrollment ID: I20210430001710 |
| Provider Name | Ligia Gabriela Martinescul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154897809 PECOS PAC ID: 0143639179 Enrollment ID: I20210504001968 |
| Provider Name | Kemi Osanaiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124605720 PECOS PAC ID: 7911306428 Enrollment ID: I20210602002594 |
| Provider Name | James Chege Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639758899 PECOS PAC ID: 0648672790 Enrollment ID: I20210712002634 |
| Provider Name | Kathryn Knight-lossing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285205419 PECOS PAC ID: 7719380997 Enrollment ID: I20210726002203 |
| Provider Name | Anilda Gjergji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821679200 PECOS PAC ID: 0345646857 Enrollment ID: I20210909000505 |
| Provider Name | Katarzyna Noelle Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701798 PECOS PAC ID: 9931505005 Enrollment ID: I20210915001688 |
| Provider Name | Dion Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619305406 PECOS PAC ID: 3173911021 Enrollment ID: I20211026000188 |
| Provider Name | Dana Hilden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750048179 PECOS PAC ID: 1254721186 Enrollment ID: I20211207001807 |
| Provider Name | Lindsey Woodbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619515053 PECOS PAC ID: 5991131583 Enrollment ID: I20211208001992 |
| Provider Name | Kacie Humiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616822 PECOS PAC ID: 0345631677 Enrollment ID: I20211222000137 |
| Provider Name | Michelle a Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144809542 PECOS PAC ID: 0446642946 Enrollment ID: I20220112002887 |
| Provider Name | Jessica Swagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853647 PECOS PAC ID: 2668864489 Enrollment ID: I20220127002093 |
| Provider Name | Sherry Lynn Kurzym |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699426478 PECOS PAC ID: 5698168136 Enrollment ID: I20220207000408 |
| Provider Name | Soha Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083274542 PECOS PAC ID: 6305230020 Enrollment ID: I20220223000994 |
| Provider Name | Ayesha Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538978 PECOS PAC ID: 4789078247 Enrollment ID: I20220225001290 |
| Provider Name | Carmen Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982156972 PECOS PAC ID: 3971998865 Enrollment ID: I20220310002154 |
| Provider Name | Wanda Theresa Bignotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225551716 PECOS PAC ID: 6901292648 Enrollment ID: I20220406002203 |
| Provider Name | Mary Minoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164167474 PECOS PAC ID: 9537547831 Enrollment ID: I20220526002874 |
| Provider Name | Ashley N Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738885 PECOS PAC ID: 9032597166 Enrollment ID: I20220602000447 |
| Provider Name | Misty M Veatch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376986588 PECOS PAC ID: 1052791621 Enrollment ID: I20220629002560 |
| Provider Name | Heather Keillor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154067783 PECOS PAC ID: 8123409380 Enrollment ID: I20220719002080 |
| Provider Name | Angela Lynn Wandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035115 PECOS PAC ID: 0547642126 Enrollment ID: I20220728001932 |
| Provider Name | Andrea Sieg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487099297 PECOS PAC ID: 2860875861 Enrollment ID: I20220823002909 |
| Provider Name | Jacquelyn Mary Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710611470 PECOS PAC ID: 2769866185 Enrollment ID: I20220903000162 |
| Provider Name | Brianna Schuelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266264 PECOS PAC ID: 9537594494 Enrollment ID: I20221031001181 |
| Provider Name | Holly Marie Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083366397 PECOS PAC ID: 6406224906 Enrollment ID: I20221114002792 |
| Provider Name | Nicole Chaves Sonnenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659960789 PECOS PAC ID: 6204204662 Enrollment ID: I20221116002428 |
| Provider Name | Amy Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043859564 PECOS PAC ID: 5890165385 Enrollment ID: I20221227001248 |
| Provider Name | Erika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296840 PECOS PAC ID: 4082085477 Enrollment ID: I20230123001140 |
| Provider Name | Amy Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861874513 PECOS PAC ID: 0042682189 Enrollment ID: I20230217001908 |
| Provider Name | Jenifer Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336745504 PECOS PAC ID: 9739552696 Enrollment ID: I20230224001125 |
| Provider Name | Courtney L Morgott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538870597 PECOS PAC ID: 3577936764 Enrollment ID: I20230309001296 |
| Provider Name | Radhika Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184338535 PECOS PAC ID: 2365816063 Enrollment ID: I20230321000271 |
| Provider Name | Akunna Aguwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225734296 PECOS PAC ID: 9830563006 Enrollment ID: I20230330000882 |
| Provider Name | Angela M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099566 PECOS PAC ID: 6305211863 Enrollment ID: I20230414000868 |
| Provider Name | Kimberly Elizabeth-torionna Lorick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748916 PECOS PAC ID: 5799150074 Enrollment ID: I20230419001518 |
| Provider Name | Michelle Ann Hyjek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366031056 PECOS PAC ID: 7810352390 Enrollment ID: I20230505001899 |
| Provider Name | Michelle Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033835996 PECOS PAC ID: 5698131977 Enrollment ID: I20230510003215 |
| Provider Name | Deanna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912631466 PECOS PAC ID: 4183080955 Enrollment ID: I20230520000288 |
| Provider Name | Samantha Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063826840 PECOS PAC ID: 7315168424 Enrollment ID: I20230523001546 |
| Provider Name | Mirna Jadan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396368643 PECOS PAC ID: 5294157137 Enrollment ID: I20230530000408 |
| Provider Name | Lata Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861600561 PECOS PAC ID: 3678666930 Enrollment ID: I20230601000288 |
| Provider Name | Tina Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205574118 PECOS PAC ID: 7517325061 Enrollment ID: I20230615002283 |
| Provider Name | Alexandra Michelle Dasuqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629709571 PECOS PAC ID: 7416324884 Enrollment ID: I20230628004004 |
| Provider Name | Shairee Shaileshkumar Dalwadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801528997 PECOS PAC ID: 1759740046 Enrollment ID: I20230705001360 |
| Provider Name | Jessica Anne Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681115 PECOS PAC ID: 9234598186 Enrollment ID: I20230710003238 |
| Provider Name | Starr Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427667690 PECOS PAC ID: 3971974668 Enrollment ID: I20230726002042 |
| Provider Name | Kimberley Deslippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124494232 PECOS PAC ID: 5799092755 Enrollment ID: I20230728002059 |
| Provider Name | Deidre Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962876 PECOS PAC ID: 7810358090 Enrollment ID: I20230803003777 |
| Provider Name | Sarah Benson Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812994 PECOS PAC ID: 4587025770 Enrollment ID: I20230803004079 |
| Provider Name | Eric Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134804248 PECOS PAC ID: 4284097395 Enrollment ID: I20230822003476 |
| Provider Name | Alicia Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548922420 PECOS PAC ID: 6800294257 Enrollment ID: I20230901000695 |
| Provider Name | Lucille Ann Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942084371 PECOS PAC ID: 8022472166 Enrollment ID: I20230907004521 |
| Provider Name | Samantha Lograsso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157436 PECOS PAC ID: 6709240864 Enrollment ID: I20230908000969 |
| Provider Name | Alyssa Ann Jaworski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649973538 PECOS PAC ID: 6406200187 Enrollment ID: I20230928003532 |
| Provider Name | Samaria Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477207942 PECOS PAC ID: 0941655245 Enrollment ID: I20231005003315 |
| Provider Name | Jessica Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649043720 PECOS PAC ID: 4486001476 Enrollment ID: I20231113003198 |
| Provider Name | Camille Brazzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194286484 PECOS PAC ID: 0143554576 Enrollment ID: I20231128002673 |
| Provider Name | Gurjas Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739192 PECOS PAC ID: 9234580887 Enrollment ID: I20240108004047 |
| Provider Name | Becky Okete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558136648 PECOS PAC ID: 5092250753 Enrollment ID: I20240717003480 |
| Provider Name | Allison Gilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235745126 PECOS PAC ID: 4981014800 Enrollment ID: I20240822003847 |
| Provider Name | Joanna Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538864392 PECOS PAC ID: 1153853429 Enrollment ID: I20241011003131 |
| Provider Name | Jeanette Moorer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205661048 PECOS PAC ID: 8820520398 Enrollment ID: I20241022003343 |
| Provider Name | Katherine Colleen Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063136547 PECOS PAC ID: 1254780752 Enrollment ID: I20250326003368 |
| Provider Name | Anne Conwell Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134617509 PECOS PAC ID: 3870842263 Enrollment ID: I20250515001629 |
| Provider Name | Kristina J Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982339388 PECOS PAC ID: 7719334168 Enrollment ID: I20250626003491 |
| Provider Name | Carla Angel Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700525771 PECOS PAC ID: 9234586678 Enrollment ID: I20250721003160 |
| Provider Name | Christine Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801546379 PECOS PAC ID: 4981053691 Enrollment ID: I20250922001460 |
| Provider Name | Jamal Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205156429 PECOS PAC ID: 9739304791 Enrollment ID: I20250923003860 |
| Provider Name | Latoya Elmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328303 PECOS PAC ID: 4284973843 Enrollment ID: I20251117003101 |
| Provider Name | Jamie M Heinzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386153377 PECOS PAC ID: 3678835568 Enrollment ID: I20251119001815 |
| Provider Name | Erica Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023401791 PECOS PAC ID: 8123323730 Enrollment ID: I20251121003425 |
| Provider Name | Tara Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770004301 PECOS PAC ID: 3779858238 Enrollment ID: I20251122000276 |
| Provider Name | Sara Emedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275057895 PECOS PAC ID: 4486910924 Enrollment ID: I20251220000322 |
| Provider Name | Meghan Atchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447040415 PECOS PAC ID: 6305333501 Enrollment ID: I20251223001774 |
| Provider Name | Anjelica Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609453067 PECOS PAC ID: 4284170929 Enrollment ID: I20260220002329 |
| Provider Name | Veronica Roye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427650092 PECOS PAC ID: 6709221823 Enrollment ID: I20260429002119 |
| Provider Name | Anthony S Leazzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912056995 PECOS PAC ID: 5698722767 Enrollment ID: I20260616002761 |
| Provider Name | Ashley Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423060 PECOS PAC ID: 0446663058 Enrollment ID: I20260623001328 |
Personal Medical Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5036 Stonehenge Dr, Portage, MI 49024 Phone: 269-716-3574 |
Myndfull Care Michigan PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5930 Lovers Ln Ste L1, Portage, MI 49002 Phone: 855-839-8878 |
Internal Medicine and Vitality, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6505 Constitution Blvd Ste C, Portage, MI 49024 Phone: 269-762-4120 Fax: 269-254-8413 |
Accessnow Walk-in Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8145 Valleywood Lane, Suite B, Portage, MI 49024 Phone: 313-477-7553 |
Progressive Eyecare Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 |
James E. Hanlon MD, PLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8145 Valleywood Ln, Suite B, Portage, MI 49024 Phone: 269-324-9162 Fax: 269-375-6078 |