| Neighborhood Health Clinics, Inc | |
|
1717 S Calhoun St Fort Wayne IN 46802-5257 | |
| (260) 458-2641 | |
| (260) 458-3093 |
| Full Name | Neighborhood Health Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1717 S Calhoun St, Fort Wayne, Indiana |
| Authorized Official Name and Position | Angela M Zaegel (CEO) |
| Authorized Official Contact | 2604582646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Health Clinics, Inc Po Box 11949 Fort Wayne IN 46862-1949 Ph: (260) 458-2641 | Neighborhood Health Clinics, Inc 1717 S Calhoun St Fort Wayne IN 46802-5257 Ph: (260) 458-2641 |
| NPI Number | 1548291222 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 8022926294 |
|---|---|
| Medicare Enrollment ID | O20051012000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548291222 | NPI | - | NPPES |
| 100050750 | Medicaid | IN |
| Provider Name | Aaron Christopher Frey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134266935 PECOS PAC ID: 5395728372 Enrollment ID: I20040610000916 |
| Provider Name | Robin Denise Brauchla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457303950 PECOS PAC ID: 0840205738 Enrollment ID: I20060214000411 |
| Provider Name | Sharon J Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568453868 PECOS PAC ID: 4082712955 Enrollment ID: I20070531000516 |
| Provider Name | Michael S Mohrman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770574063 PECOS PAC ID: 7517946536 Enrollment ID: I20070612000360 |
| Provider Name | Manolo M Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083605364 PECOS PAC ID: 1456446699 Enrollment ID: I20071002000795 |
| Provider Name | Marlona K Harting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831204668 PECOS PAC ID: 1355404146 Enrollment ID: I20090105000396 |
| Provider Name | Michael B Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831189489 PECOS PAC ID: 4284624016 Enrollment ID: I20090317000334 |
| Provider Name | Lynn A Huett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992934038 PECOS PAC ID: 6901952506 Enrollment ID: I20090923000632 |
| Provider Name | John S Mohrman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336130624 PECOS PAC ID: 1456330471 Enrollment ID: I20100723000619 |
| Provider Name | Paula A Neuman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144555855 PECOS PAC ID: 5890975148 Enrollment ID: I20110203001066 |
| Provider Name | Cara E Stansifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518273887 PECOS PAC ID: 3072786920 Enrollment ID: I20111109000557 |
| Provider Name | Josette C Klink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730450305 PECOS PAC ID: 8224298591 Enrollment ID: I20120323000002 |
| Provider Name | Jennifer Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225468150 PECOS PAC ID: 8224268628 Enrollment ID: I20140304002030 |
| Provider Name | Catherine C Moffitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770845992 PECOS PAC ID: 1153571773 Enrollment ID: I20140710001257 |
| Provider Name | Ashley H Boettcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437527892 PECOS PAC ID: 7517275381 Enrollment ID: I20150928001135 |
| Provider Name | Lauren J Stoffel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063827053 PECOS PAC ID: 2163649930 Enrollment ID: I20160608002527 |
| Provider Name | Seth C Mckinney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043753197 PECOS PAC ID: 6204117401 Enrollment ID: I20161230000776 |
| Provider Name | Amy Sue Hancher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265606065 PECOS PAC ID: 3072889880 Enrollment ID: I20171024000119 |
| Provider Name | Deborah Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205173309 PECOS PAC ID: 3971863481 Enrollment ID: I20180201000582 |
| Provider Name | Dereck Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255824306 PECOS PAC ID: 6507113057 Enrollment ID: I20180716002152 |
| Provider Name | Jessica Shaye Proxmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676337 PECOS PAC ID: 5991075970 Enrollment ID: I20181008002393 |
| Provider Name | Lormekia Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912462698 PECOS PAC ID: 4385984103 Enrollment ID: I20190314000137 |
| Provider Name | Ashton V Akridge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306368048 PECOS PAC ID: 7618217878 Enrollment ID: I20190326000676 |
| Provider Name | Debbie J Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194234237 PECOS PAC ID: 5193082287 Enrollment ID: I20190702000813 |
| Provider Name | Marta Wrobleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821646795 PECOS PAC ID: 8325379605 Enrollment ID: I20191017002063 |
| Provider Name | Miranda Ellen Renee Kolde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477066538 PECOS PAC ID: 6901235837 Enrollment ID: I20200328000078 |
| Provider Name | Gentry Jarrett Kerwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598382376 PECOS PAC ID: 7214350610 Enrollment ID: I20200701002591 |
| Provider Name | Kelly Timbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916274 PECOS PAC ID: 3577989730 Enrollment ID: I20200818003304 |
| Provider Name | Brianna Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689287518 PECOS PAC ID: 6103245287 Enrollment ID: I20200924000075 |
| Provider Name | Zachary Edward Laskovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215554092 PECOS PAC ID: 5698185551 Enrollment ID: I20201104000173 |
| Provider Name | Wendy Bodwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957641 PECOS PAC ID: 5799196002 Enrollment ID: I20201117002723 |
| Provider Name | Dolorita Sweeney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508914623 PECOS PAC ID: 7214002401 Enrollment ID: I20210114000840 |
| Provider Name | Sarah Recker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069167 PECOS PAC ID: 7214341957 Enrollment ID: I20210120003061 |
| Provider Name | Kylie R Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578142931 PECOS PAC ID: 6507265477 Enrollment ID: I20210525003487 |
| Provider Name | Kristen Spiegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700285012 PECOS PAC ID: 9739565763 Enrollment ID: I20220928003439 |
| Provider Name | Richard Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679983076 PECOS PAC ID: 3678959145 Enrollment ID: I20221006001577 |
| Provider Name | Alexis Huckleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043947492 PECOS PAC ID: 3375913361 Enrollment ID: I20230109002125 |
| Provider Name | Kyaw D Htoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669191292 PECOS PAC ID: 1456796036 Enrollment ID: I20240305003655 |
| Provider Name | Jean Fabini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861255135 PECOS PAC ID: 0446690853 Enrollment ID: I20240502002016 |
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