| Chi Health | |
|
6901 N 72nd St Omaha NE 68122-1709 | |
| (402) 572-2916 | |
| (402) 572-2528 |
| Full Name | Chi Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 6901 N 72nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Randy Pritza (SYSTEM SVP) |
| Authorized Official Contact | 4023434477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Health 12809 W Dodge Road Omaha NE 68154-2155 Ph: (402) 398-6255 | Chi Health 6901 N 72nd St Omaha NE 68122-1709 Ph: (402) 572-2916 |
| NPI Number | 1033288923 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1850285255 |
|---|---|
| Medicare Enrollment ID | O20040326000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033288923 | NPI | - | NPPES |
| Provider Name | Paul M Grow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467510495 PECOS PAC ID: 6002888138 Enrollment ID: I20040810000523 |
| Provider Name | Kavir Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467444588 PECOS PAC ID: 6608848296 Enrollment ID: I20040812001096 |
| Provider Name | Gina Marie Oliveto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407872765 PECOS PAC ID: 8325023658 Enrollment ID: I20040903001137 |
| Provider Name | Vijay K Dewan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205817061 PECOS PAC ID: 4688641509 Enrollment ID: I20040910001164 |
| Provider Name | Alice S Tvrdik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275583999 PECOS PAC ID: 7315998820 Enrollment ID: I20050202000279 |
| Provider Name | Thomas M Svolos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841305489 PECOS PAC ID: 6901850429 Enrollment ID: I20050308000928 |
| Provider Name | William C Bruns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265442032 PECOS PAC ID: 0345221750 Enrollment ID: I20050308001200 |
| Provider Name | Zakaria Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124144522 PECOS PAC ID: 6608848502 Enrollment ID: I20050328000531 |
| Provider Name | Sriram Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20050726001099 |
| Provider Name | Denise M Falcon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295809408 PECOS PAC ID: 6305865148 Enrollment ID: I20051122000199 |
| Provider Name | Arun Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659405223 PECOS PAC ID: 3072537117 Enrollment ID: I20060117000552 |
| Provider Name | Syed F Qadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902917552 PECOS PAC ID: 9436168119 Enrollment ID: I20060406000658 |
| Provider Name | Subhash C Bhatia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386758001 PECOS PAC ID: 8426067174 Enrollment ID: I20060407000603 |
| Provider Name | Shashi K Bhatia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265546949 PECOS PAC ID: 8022027606 Enrollment ID: I20060410000310 |
| Provider Name | Yetunde A Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811004443 PECOS PAC ID: 5991700213 Enrollment ID: I20060920000261 |
| Provider Name | Christine A Karnish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053329425 PECOS PAC ID: 4688679855 Enrollment ID: I20060921000213 |
| Provider Name | Navdeep Sood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043231830 PECOS PAC ID: 7315903556 Enrollment ID: I20061026000573 |
| Provider Name | Hasnain J Sadiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184641193 PECOS PAC ID: 0941208573 Enrollment ID: I20061115000169 |
| Provider Name | Yajuan Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336160456 PECOS PAC ID: 8022019546 Enrollment ID: I20070126000255 |
| Provider Name | Susan K Finan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265518831 PECOS PAC ID: 6204939127 Enrollment ID: I20070314000451 |
| Provider Name | Lilly M Stoller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215910369 PECOS PAC ID: 8022111624 Enrollment ID: I20070320000629 |
| Provider Name | Hugo Gonzalez Nieto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598876518 PECOS PAC ID: 2860596038 Enrollment ID: I20070327000705 |
| Provider Name | Ann Moray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235353244 PECOS PAC ID: 1456442920 Enrollment ID: I20070813000548 |
| Provider Name | Jawed Muhammad Bharwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578745956 PECOS PAC ID: 4385612043 Enrollment ID: I20071027000077 |
| Provider Name | Tina M Sedersten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215012208 PECOS PAC ID: 3072691757 Enrollment ID: I20080422000021 |
| Provider Name | Jane A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093962102 PECOS PAC ID: 4880760271 Enrollment ID: I20080909000431 |
| Provider Name | Chung Chou Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750499091 PECOS PAC ID: 1759446578 Enrollment ID: I20090211000417 |
| Provider Name | Michele R Marsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861468092 PECOS PAC ID: 6002973435 Enrollment ID: I20090330000174 |
| Provider Name | Monica L Blizek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003012139 PECOS PAC ID: 6406903491 Enrollment ID: I20090408000495 |
| Provider Name | Sondra Crowder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417141094 PECOS PAC ID: 0648327585 Enrollment ID: I20090413000291 |
| Provider Name | Mandy R Leamon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568446318 PECOS PAC ID: 7719035161 Enrollment ID: I20090423000453 |
| Provider Name | Anton E Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740263227 PECOS PAC ID: 9032196035 Enrollment ID: I20090714000605 |
| Provider Name | Mark J Diercks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134283567 PECOS PAC ID: 2163577255 Enrollment ID: I20090825000423 |
| Provider Name | Karie M Wesely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093042392 PECOS PAC ID: 3375685902 Enrollment ID: I20100120000741 |
| Provider Name | Praveen P Fernandes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982719795 PECOS PAC ID: 0042352452 Enrollment ID: I20100123000048 |
| Provider Name | William A Marcil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750393104 PECOS PAC ID: 5193868149 Enrollment ID: I20100130000051 |
| Provider Name | Paulajo Malin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861502981 PECOS PAC ID: 1557404506 Enrollment ID: I20100130000055 |
| Provider Name | Gregory J Schafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546832 PECOS PAC ID: 1557405271 Enrollment ID: I20100218000858 |
| Provider Name | Monica Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225142375 PECOS PAC ID: 6103960745 Enrollment ID: I20100219000281 |
| Provider Name | Luanne M Lundergard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962425652 PECOS PAC ID: 4284761313 Enrollment ID: I20100422000189 |
| Provider Name | Lane T Handke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952398570 PECOS PAC ID: 7810053527 Enrollment ID: I20100427000800 |
| Provider Name | Nancy E Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922299163 PECOS PAC ID: 5698867208 Enrollment ID: I20100629000627 |
| Provider Name | Brian D Lubberstedt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659492619 PECOS PAC ID: 2668505595 Enrollment ID: I20100729000390 |
| Provider Name | Shannon M Kinnan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376738898 PECOS PAC ID: 4789718099 Enrollment ID: I20100820001051 |
| Provider Name | Hudson H Hsieh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033269030 PECOS PAC ID: 8921122300 Enrollment ID: I20100908000420 |
| Provider Name | Michael L Egger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144370131 PECOS PAC ID: 1557486610 Enrollment ID: I20100913000609 |
| Provider Name | Rita M Regnier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881818250 PECOS PAC ID: 7012032824 Enrollment ID: I20100916001321 |
| Provider Name | Erika J Povondra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992010326 PECOS PAC ID: 4981720216 Enrollment ID: I20100923001524 |
| Provider Name | Robert Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619192036 PECOS PAC ID: 2668664061 Enrollment ID: I20101004000970 |
| Provider Name | Jamie L Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730294356 PECOS PAC ID: 4284827551 Enrollment ID: I20101019000800 |
| Provider Name | Kim R Groenjes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013243922 PECOS PAC ID: 9638363914 Enrollment ID: I20101101000157 |
| Provider Name | Lisa K Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558675199 PECOS PAC ID: 0042406100 Enrollment ID: I20101201000626 |
| Provider Name | Imad Alsakaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295944783 PECOS PAC ID: 4789860297 Enrollment ID: I20110518000362 |
| Provider Name | Vithyalakshmi Selvaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801006325 PECOS PAC ID: 5698946531 Enrollment ID: I20110926000222 |
| Provider Name | Courtney D Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346497757 PECOS PAC ID: 2264593367 Enrollment ID: I20120118000697 |
| Provider Name | David B Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003004391 PECOS PAC ID: 6305000993 Enrollment ID: I20120612000068 |
| Provider Name | Rashmi Ojha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407056476 PECOS PAC ID: 3072779743 Enrollment ID: I20120724000849 |
| Provider Name | Hilary Ohrt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669728242 PECOS PAC ID: 6901059278 Enrollment ID: I20130117000242 |
| Provider Name | Nathan M Sudbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598032401 PECOS PAC ID: 5496922429 Enrollment ID: I20130117000315 |
| Provider Name | Stephanie A Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700923240 PECOS PAC ID: 1759535230 Enrollment ID: I20130209000003 |
| Provider Name | Corie A Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861739971 PECOS PAC ID: 8022263862 Enrollment ID: I20130301000045 |
| Provider Name | Mindy R Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184989873 PECOS PAC ID: 2365687969 Enrollment ID: I20130403000113 |
| Provider Name | Michael O Arisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235360058 PECOS PAC ID: 8325280605 Enrollment ID: I20130815000923 |
| Provider Name | Margaret R Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528348802 PECOS PAC ID: 3274704879 Enrollment ID: I20131024000062 |
| Provider Name | Ivory L Welbourn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174965792 PECOS PAC ID: 8628203619 Enrollment ID: I20131029000755 |
| Provider Name | Catherine A Hartung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477994390 PECOS PAC ID: 0648405365 Enrollment ID: I20131104001545 |
| Provider Name | Maria G Mojica-rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790113181 PECOS PAC ID: 9234368325 Enrollment ID: I20140213000461 |
| Provider Name | Vakara M Meyer-karre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871766105 PECOS PAC ID: 9133312945 Enrollment ID: I20140827000804 |
| Provider Name | Naoko Masuda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023316593 PECOS PAC ID: 1951529163 Enrollment ID: I20140902000199 |
| Provider Name | Maria Elizabeth Mcgee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295982999 PECOS PAC ID: 6709009806 Enrollment ID: I20140923001153 |
| Provider Name | Jessica A Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912291451 PECOS PAC ID: 5496925141 Enrollment ID: I20141007001961 |
| Provider Name | Erin Walley Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407166739 PECOS PAC ID: 0042404329 Enrollment ID: I20141023001443 |
| Provider Name | Megan B Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474824 PECOS PAC ID: 5597998641 Enrollment ID: I20141029001270 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20141210000499 |
| Provider Name | Chelsea Marie Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720478647 PECOS PAC ID: 0345565438 Enrollment ID: I20150212001128 |
| Provider Name | Mark E Weilage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700264892 PECOS PAC ID: 0345560124 Enrollment ID: I20150519000378 |
| Provider Name | Srinivas Dannaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003120437 PECOS PAC ID: 5698908564 Enrollment ID: I20150519001336 |
| Provider Name | Niranjan Kc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477800050 PECOS PAC ID: 5395065106 Enrollment ID: I20150519001361 |
| Provider Name | Robert Arthur Nash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194723429 PECOS PAC ID: 6406996487 Enrollment ID: I20150603001453 |
| Provider Name | Venkata B Kolli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629382148 PECOS PAC ID: 7719118371 Enrollment ID: I20150623000397 |
| Provider Name | Macy Lee Kasperbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821465881 PECOS PAC ID: 1557677515 Enrollment ID: I20150904002196 |
| Provider Name | Christina Nicole Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447656012 PECOS PAC ID: 0840506721 Enrollment ID: I20150909000847 |
| Provider Name | Arti Muralidhara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245496678 PECOS PAC ID: 1951536333 Enrollment ID: I20151104000819 |
| Provider Name | Rachel M Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144690132 PECOS PAC ID: 1658671797 Enrollment ID: I20151123000622 |
| Provider Name | Lanny Turkewitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871629931 PECOS PAC ID: 1254381064 Enrollment ID: I20160114000210 |
| Provider Name | Virginia J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568827095 PECOS PAC ID: 6103129184 Enrollment ID: I20160126000306 |
| Provider Name | Kelli J Stoffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679933725 PECOS PAC ID: 5395042584 Enrollment ID: I20160404000749 |
| Provider Name | Kristina L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636770 PECOS PAC ID: 1557364254 Enrollment ID: I20160421000595 |
| Provider Name | Felicitas Mavunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871957340 PECOS PAC ID: 1658670153 Enrollment ID: I20160505000456 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20160603000228 |
| Provider Name | Jameson D Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245248293 PECOS PAC ID: 4082756317 Enrollment ID: I20160614001411 |
| Provider Name | Vladislav Zayas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346279528 PECOS PAC ID: 5991884165 Enrollment ID: I20160714000732 |
| Provider Name | Chi-kin Ng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669540464 PECOS PAC ID: 2365460268 Enrollment ID: I20160725001899 |
| Provider Name | John David Rossi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235274994 PECOS PAC ID: 6204095698 Enrollment ID: I20160802001305 |
| Provider Name | Crystal Reyelts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053751107 PECOS PAC ID: 5193012672 Enrollment ID: I20160927002051 |
| Provider Name | Shantrice Lashaun Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932362001 PECOS PAC ID: 6800183328 Enrollment ID: I20160928000442 |
| Provider Name | Ayla A Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447601810 PECOS PAC ID: 0941597363 Enrollment ID: I20160928000692 |
| Provider Name | Yasser Salam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548543069 PECOS PAC ID: 9234107681 Enrollment ID: I20161115000994 |
| Provider Name | Chelsea E Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982006805 PECOS PAC ID: 0547557019 Enrollment ID: I20170214001403 |
| Provider Name | Tiffany V Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902338452 PECOS PAC ID: 1951687821 Enrollment ID: I20170406002227 |
| Provider Name | Michele A Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245571389 PECOS PAC ID: 1052698974 Enrollment ID: I20170502002721 |
| Provider Name | Rachel L Zentner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669813549 PECOS PAC ID: 1658502117 Enrollment ID: I20170713003373 |
| Provider Name | Jessica A Knight |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396076451 PECOS PAC ID: 9032489513 Enrollment ID: I20170717000121 |
| Provider Name | Jennifer A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356863419 PECOS PAC ID: 4183994353 Enrollment ID: I20170720001017 |
| Provider Name | Nicole E Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861801938 PECOS PAC ID: 4082970801 Enrollment ID: I20171113000255 |
| Provider Name | Nathan Howland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306275243 PECOS PAC ID: 9335404326 Enrollment ID: I20180522001063 |
| Provider Name | Andrew Robert Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871908814 PECOS PAC ID: 5496976086 Enrollment ID: I20180618001664 |
| Provider Name | Joseph Edmund Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043625023 PECOS PAC ID: 3779703129 Enrollment ID: I20180618001706 |
| Provider Name | Roberto Francisco Cervantes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164863049 PECOS PAC ID: 1759514540 Enrollment ID: I20180618001967 |
| Provider Name | Nargis Sadat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306253448 PECOS PAC ID: 1951521319 Enrollment ID: I20180717001064 |
| Provider Name | Jamie Lund Olsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518300573 PECOS PAC ID: 5597906990 Enrollment ID: I20180723001994 |
| Provider Name | Bradley D Kutschkau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253831 PECOS PAC ID: 2264781087 Enrollment ID: I20180827003289 |
| Provider Name | Traci J Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300151 PECOS PAC ID: 0941546071 Enrollment ID: I20190110003018 |
| Provider Name | Jonnae Luck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720445208 PECOS PAC ID: 7517209802 Enrollment ID: I20190507002586 |
| Provider Name | Eliticia E Vieyra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518527951 PECOS PAC ID: 4284969080 Enrollment ID: I20190717000146 |
| Provider Name | Renae A Wein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265906788 PECOS PAC ID: 1355676073 Enrollment ID: I20190717001038 |
| Provider Name | Michelle E. Roley-roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962889956 PECOS PAC ID: 0143557652 Enrollment ID: I20190806004191 |
| Provider Name | Noelle C Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972673119 PECOS PAC ID: 5991893398 Enrollment ID: I20190821003241 |
| Provider Name | Jyotsna S Ranga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578666988 PECOS PAC ID: 7315103934 Enrollment ID: I20190918000889 |
| Provider Name | Stephanie Elizabeth Wortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811543077 PECOS PAC ID: 2668702366 Enrollment ID: I20190923002975 |
| Provider Name | Alexandra Munet Ginorio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952603060 PECOS PAC ID: 2466636378 Enrollment ID: I20191120001543 |
| Provider Name | Laura L Dolejs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871087254 PECOS PAC ID: 8426482811 Enrollment ID: I20191217002554 |
| Provider Name | Victoria L Vantol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326552050 PECOS PAC ID: 5193159598 Enrollment ID: I20191217002870 |
| Provider Name | Benjamin J Rowley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649622069 PECOS PAC ID: 3476828732 Enrollment ID: I20200611002738 |
| Provider Name | Alexandra King Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851801997 PECOS PAC ID: 5395168785 Enrollment ID: I20200701002292 |
| Provider Name | Melissa M Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073135513 PECOS PAC ID: 6709200751 Enrollment ID: I20200723000146 |
| Provider Name | Claire Marie Rynearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669973715 PECOS PAC ID: 9335566140 Enrollment ID: I20200825002112 |
| Provider Name | Meghan M Luebbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023644994 PECOS PAC ID: 1557771979 Enrollment ID: I20201112003218 |
| Provider Name | Jody M Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995563 PECOS PAC ID: 0244642577 Enrollment ID: I20201210001611 |
| Provider Name | Zachary James Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447605076 PECOS PAC ID: 1052665213 Enrollment ID: I20201211002062 |
| Provider Name | Celianne Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588265615 PECOS PAC ID: 4789096470 Enrollment ID: I20201222002498 |
| Provider Name | Amanda S Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659960052 PECOS PAC ID: 7214342294 Enrollment ID: I20210225001258 |
| Provider Name | Jane L Holtzclaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629000229 PECOS PAC ID: 9032527163 Enrollment ID: I20210409000803 |
| Provider Name | Marie-josee Ganiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518551340 PECOS PAC ID: 9133538762 Enrollment ID: I20210511001107 |
| Provider Name | Prashanth Sripal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871014852 PECOS PAC ID: 4183024060 Enrollment ID: I20210615000574 |
| Provider Name | Taliat Abiodun Fawole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255795886 PECOS PAC ID: 2961740063 Enrollment ID: I20210714002477 |
| Provider Name | Bonnie J Rothell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306421342 PECOS PAC ID: 9234533845 Enrollment ID: I20210804001544 |
| Provider Name | Kacy E Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184298499 PECOS PAC ID: 8628472818 Enrollment ID: I20210810003344 |
| Provider Name | Todd A Falter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578134466 PECOS PAC ID: 6305241902 Enrollment ID: I20210819002849 |
| Provider Name | Timothy Allen Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588194468 PECOS PAC ID: 0143626325 Enrollment ID: I20210914001339 |
| Provider Name | Carrie E Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851065825 PECOS PAC ID: 0749687531 Enrollment ID: I20210921002527 |
| Provider Name | Lindsey M Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479702 PECOS PAC ID: 6800293440 Enrollment ID: I20210923001721 |
| Provider Name | Rajesh Tampi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639167588 PECOS PAC ID: 4385603414 Enrollment ID: I20220105002509 |
| Provider Name | Lawrence Danczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159636 PECOS PAC ID: 5193117786 Enrollment ID: I20220111001049 |
| Provider Name | Lauren Leah Struble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255092292 PECOS PAC ID: 1355736067 Enrollment ID: I20220316001047 |
| Provider Name | Yvonne Lee Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922512680 PECOS PAC ID: 9436544160 Enrollment ID: I20220316002595 |
| Provider Name | Wesley J Sheeley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821229246 PECOS PAC ID: 9739566332 Enrollment ID: I20220520001365 |
| Provider Name | Kaleigh Anne Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366190985 PECOS PAC ID: 3577942994 Enrollment ID: I20220615001184 |
| Provider Name | Louis Trevisan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932132867 PECOS PAC ID: 2860591369 Enrollment ID: I20220803003384 |
| Provider Name | Larisa Akah Che |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770005613 PECOS PAC ID: 1658601844 Enrollment ID: I20220805002655 |
| Provider Name | Kellee J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811616584 PECOS PAC ID: 3577947399 Enrollment ID: I20220829000982 |
| Provider Name | Alisandrea N Elson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326532623 PECOS PAC ID: 5092067496 Enrollment ID: I20221013002947 |
| Provider Name | Matthew T Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912952136 PECOS PAC ID: 8426036625 Enrollment ID: I20221102002798 |
| Provider Name | Jean C Kenkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730891045 PECOS PAC ID: 5991175648 Enrollment ID: I20221221002493 |
| Provider Name | Reetta Maria Marciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588989446 PECOS PAC ID: 8921309840 Enrollment ID: I20230117001487 |
| Provider Name | Elizabeth Gensichen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326591173 PECOS PAC ID: 5890166102 Enrollment ID: I20230125000749 |
| Provider Name | Alisa Ann Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811609555 PECOS PAC ID: 7113398207 Enrollment ID: I20230127002546 |
| Provider Name | Tiffany L Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861199978 PECOS PAC ID: 7416329800 Enrollment ID: I20230213001241 |
| Provider Name | Alison T Kampe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902570682 PECOS PAC ID: 8123484557 Enrollment ID: I20230510000408 |
| Provider Name | Trista N Hemenway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619409521 PECOS PAC ID: 4981060274 Enrollment ID: I20230511000199 |
| Provider Name | Emalie B Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780369769 PECOS PAC ID: 5799143939 Enrollment ID: I20230621001604 |
| Provider Name | Nicholas Anthony Distefano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700403250 PECOS PAC ID: 0648695130 Enrollment ID: I20230621002882 |
| Provider Name | Angela D Clarken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205511136 PECOS PAC ID: 7113387747 Enrollment ID: I20230714000844 |
| Provider Name | Andrew Michael Reuss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730741232 PECOS PAC ID: 2365772324 Enrollment ID: I20230718002027 |
| Provider Name | Jordan R Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801575683 PECOS PAC ID: 6406216688 Enrollment ID: I20230719003341 |
| Provider Name | Cheila Marie Ditzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083395925 PECOS PAC ID: 5890157242 Enrollment ID: I20230816002768 |
| Provider Name | Courtnee Renee Heyduk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568967446 PECOS PAC ID: 7315294964 Enrollment ID: I20230817002141 |
| Provider Name | Lucas Augustus Bendlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366157810 PECOS PAC ID: 0345604351 Enrollment ID: I20230911000687 |
| Provider Name | Rachel E Tentinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568122596 PECOS PAC ID: 4284098658 Enrollment ID: I20230919000797 |
| Provider Name | Mike B Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902967227 PECOS PAC ID: 6204284540 Enrollment ID: I20231128001829 |
| Provider Name | Nicole A Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598065609 PECOS PAC ID: 2062860208 Enrollment ID: I20231128002101 |
| Provider Name | Melina Amanda Hickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992276752 PECOS PAC ID: 4486002672 Enrollment ID: I20231129000194 |
| Provider Name | Stephenie Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831286566 PECOS PAC ID: 3870941784 Enrollment ID: I20231201002032 |
| Provider Name | Kristine M Wiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093930489 PECOS PAC ID: 4587012422 Enrollment ID: I20231202000517 |
| Provider Name | Lillie Lyn Weatherall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932539426 PECOS PAC ID: 8022466804 Enrollment ID: I20231205001398 |
| Provider Name | Abbey M Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215575535 PECOS PAC ID: 4183072978 Enrollment ID: I20231205001976 |
| Provider Name | Valorie Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538390398 PECOS PAC ID: 5193174951 Enrollment ID: I20231206000831 |
| Provider Name | Teresa Jean Bledsoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467032177 PECOS PAC ID: 1456700079 Enrollment ID: I20231207003824 |
| Provider Name | John D Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861615734 PECOS PAC ID: 4284083833 Enrollment ID: I20231208000702 |
| Provider Name | Jill Marie Nastase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467791624 PECOS PAC ID: 6800245309 Enrollment ID: I20231208002870 |
| Provider Name | Michael Dale Pella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710186382 PECOS PAC ID: 0143679647 Enrollment ID: I20231208002970 |
| Provider Name | Patricia Allison Beedle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902181472 PECOS PAC ID: 6204285737 Enrollment ID: I20231209000616 |
| Provider Name | Bridget Danielle Mostek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013326685 PECOS PAC ID: 5496104663 Enrollment ID: I20231213001782 |
| Provider Name | Julie Jenson Hatcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518115153 PECOS PAC ID: 1658720834 Enrollment ID: I20231213001886 |
| Provider Name | Peggy S Vannortwick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114239472 PECOS PAC ID: 6800245085 Enrollment ID: I20231213002015 |
| Provider Name | Jesus A Velasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225441777 PECOS PAC ID: 9436508611 Enrollment ID: I20231213002031 |
| Provider Name | William Joseph Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396987467 PECOS PAC ID: 0244689438 Enrollment ID: I20231213002452 |
| Provider Name | James Patrick Livingston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740465038 PECOS PAC ID: 2062861164 Enrollment ID: I20231214002754 |
| Provider Name | Casey A Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649431925 PECOS PAC ID: 3072962083 Enrollment ID: I20231214003544 |
| Provider Name | Peter P Cusumano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275756272 PECOS PAC ID: 5799134730 Enrollment ID: I20231215000854 |
| Provider Name | Brandy L Fenimore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578834560 PECOS PAC ID: 0941659908 Enrollment ID: I20231215001400 |
| Provider Name | Jessica A Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194902023 PECOS PAC ID: 3678922630 Enrollment ID: I20231215001425 |
| Provider Name | Jamie M Przybylski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194950741 PECOS PAC ID: 2668821653 Enrollment ID: I20231215002957 |
| Provider Name | Teresa M Schumacher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689898595 PECOS PAC ID: 9739538729 Enrollment ID: I20231215003010 |
| Provider Name | Amy Elaine Gumb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821628470 PECOS PAC ID: 8325497324 Enrollment ID: I20231215003285 |
| Provider Name | Caroline Lisbeth Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407917230 PECOS PAC ID: 1153771027 Enrollment ID: I20231219002548 |
| Provider Name | Joseph W Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104212000 PECOS PAC ID: 7113377912 Enrollment ID: I20231220000242 |
| Provider Name | Cindy Marie Matheny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376968008 PECOS PAC ID: 6002266798 Enrollment ID: I20231220003858 |
| Provider Name | Cristian D Finney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407051477 PECOS PAC ID: 5092165670 Enrollment ID: I20231221003598 |
| Provider Name | Corrie Lynn Jasa-bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194599894 PECOS PAC ID: 6800247776 Enrollment ID: I20240105000463 |
| Provider Name | Rachel Marie Ruskamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992381487 PECOS PAC ID: 9931551694 Enrollment ID: I20240118000252 |
| Provider Name | Karla Jean Sextro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831633171 PECOS PAC ID: 7719339480 Enrollment ID: I20240118000391 |
| Provider Name | Adrian Mihalteanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588382410 PECOS PAC ID: 1456794742 Enrollment ID: I20240202002684 |
| Provider Name | Megan Marie Cada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992345300 PECOS PAC ID: 8022451954 Enrollment ID: I20240208000352 |
| Provider Name | Joanna Sue Tricaso-torrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770184707 PECOS PAC ID: 0840601217 Enrollment ID: I20240301002443 |
| Provider Name | Stephanie Ann Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568239846 PECOS PAC ID: 1850730813 Enrollment ID: I20240423004236 |
| Provider Name | Georgia L Rhodes-richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962759753 PECOS PAC ID: 1658711668 Enrollment ID: I20240424002242 |
| Provider Name | Desiree Nicole Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326755653 PECOS PAC ID: 2062852825 Enrollment ID: I20240427001941 |
Santa Monica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 39th St, Omaha, NE 68131 Phone: 402-558-7088 Fax: 402-558-7133 | |
Alphaomega Counseling&consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Ste 538, Omaha, NE 68105 Phone: 402-515-4874 | |
Charles Drew Health Center, Inc At Siena Francis House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 North 17th Street, Omaha, NE 68102 Phone: 402-346-8401 Fax: 402-453-2061 | |
Hill Counseling And Consulting, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St, Suite 129, Omaha, NE 68105 Phone: 402-871-9979 Fax: 402-614-9947 | |
Deborah L. Winckler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11330 Q St, Ste # 219, Omaha, NE 68137 Phone: 402-490-3672 Fax: 402-597-2349 | |
Serenity Psychodynamics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Arbor St, Suite 102, Omaha, NE 68144 Phone: 402-330-4700 Fax: 402-330-8815 | |
Completely Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Saint Marys Ave, Omaha, NE 68105 Phone: 402-397-5809 |