| Aspire Indiana Health Inc. | |
|
2009 Brown St Anderson IN 46016-4216 | |
| (765) 393-3891 | |
| Not Available |
| Full Name | Aspire Indiana Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2009 Brown St, Anderson, Indiana |
| Authorized Official Name and Position | Timothy D Crockett (FINANCIAL OFFICER) |
| Authorized Official Contact | 3175870505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Indiana Health Inc. 9615 E 148th St Suite 1 Noblesville IN 46060-4360 Ph: (317) 587-0500 | Aspire Indiana Health Inc. 2009 Brown St Anderson IN 46016-4216 Ph: (765) 393-3891 |
| NPI Number | 1780068288 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8921314196 |
|---|---|
| Medicare Enrollment ID | O20150902001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780068288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Bethany Ann Mcgovern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922047802 PECOS PAC ID: 2365337862 Enrollment ID: I20040216000177 |
| Provider Name | Angela Marie Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962452763 PECOS PAC ID: 0840272522 Enrollment ID: I20040605000140 |
| Provider Name | Joyce M Rand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255333126 PECOS PAC ID: 0042294282 Enrollment ID: I20040616000009 |
| Provider Name | David J Dwyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487715074 PECOS PAC ID: 8022083773 Enrollment ID: I20040827000108 |
| Provider Name | Karen A Iseminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184696635 PECOS PAC ID: 7719952100 Enrollment ID: I20040830000467 |
| Provider Name | Michelle Rene Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124073242 PECOS PAC ID: 3274508155 Enrollment ID: I20040902000205 |
| Provider Name | Joanna E Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043267032 PECOS PAC ID: 1951377639 Enrollment ID: I20040903000324 |
| Provider Name | Betsy J Rosiek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053319095 PECOS PAC ID: 7517927361 Enrollment ID: I20041015000231 |
| Provider Name | Cynthia K Condry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992719413 PECOS PAC ID: 2062310063 Enrollment ID: I20050207000464 |
| Provider Name | Judi A Knowles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346217122 PECOS PAC ID: 0648212365 Enrollment ID: I20050526000760 |
| Provider Name | Gary P De Sutter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386695658 PECOS PAC ID: 3971545104 Enrollment ID: I20050526000794 |
| Provider Name | Dale Eugene Sommers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659370765 PECOS PAC ID: 3274576079 Enrollment ID: I20050602000759 |
| Provider Name | Sydney E Ehmke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174517783 PECOS PAC ID: 4183649379 Enrollment ID: I20051006000641 |
| Provider Name | Jeanette Hoeksema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023162070 PECOS PAC ID: 7719901115 Enrollment ID: I20060125000137 |
| Provider Name | Stefane Borders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720083835 PECOS PAC ID: 1456360023 Enrollment ID: I20060410000240 |
| Provider Name | Karen M Lenox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598716177 PECOS PAC ID: 5294748547 Enrollment ID: I20060803000204 |
| Provider Name | Trusa C Grosso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932242039 PECOS PAC ID: 3173629946 Enrollment ID: I20070511000158 |
| Provider Name | Michelle Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447318852 PECOS PAC ID: 2062510753 Enrollment ID: I20070604000420 |
| Provider Name | Syeda K Khatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982757373 PECOS PAC ID: 8820196942 Enrollment ID: I20070613000112 |
| Provider Name | Sarah Dross-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598980468 PECOS PAC ID: 5294820601 Enrollment ID: I20071001000264 |
| Provider Name | Susan Maier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881774099 PECOS PAC ID: 4688761653 Enrollment ID: I20071107000730 |
| Provider Name | Barbara Brands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053355842 PECOS PAC ID: 8224110903 Enrollment ID: I20080204000214 |
| Provider Name | Candice J Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790978245 PECOS PAC ID: 7719053941 Enrollment ID: I20080911000399 |
| Provider Name | Nelle M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932277670 PECOS PAC ID: 4486722337 Enrollment ID: I20081006000579 |
| Provider Name | Chiu-ying Chung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952406373 PECOS PAC ID: 6608937883 Enrollment ID: I20081205000551 |
| Provider Name | Kathleen I Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154562296 PECOS PAC ID: 5092862136 Enrollment ID: I20090407000556 |
| Provider Name | Kristy J Hadfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093900193 PECOS PAC ID: 5294884342 Enrollment ID: I20090519000598 |
| Provider Name | Hua Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659439149 PECOS PAC ID: 2062562283 Enrollment ID: I20090610000297 |
| Provider Name | Martha A Ponsler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821156225 PECOS PAC ID: 3971653015 Enrollment ID: I20090610000530 |
| Provider Name | Elizabeth J Hanrahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255537106 PECOS PAC ID: 6002968633 Enrollment ID: I20090713000563 |
| Provider Name | Deena M Heller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841350550 PECOS PAC ID: 3870646557 Enrollment ID: I20090728000426 |
| Provider Name | Patricia R Fettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760633267 PECOS PAC ID: 7416002449 Enrollment ID: I20090827000282 |
| Provider Name | Linda L Schoneberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619944964 PECOS PAC ID: 9931245271 Enrollment ID: I20090930000232 |
| Provider Name | Stephanie S Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336479161 PECOS PAC ID: 3476632431 Enrollment ID: I20100618000093 |
| Provider Name | Emma Ray Engel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225235195 PECOS PAC ID: 9931231727 Enrollment ID: I20100714000366 |
| Provider Name | Mary G Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225115702 PECOS PAC ID: 4688707151 Enrollment ID: I20100804000584 |
| Provider Name | Debra J Troyer Buck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831135607 PECOS PAC ID: 5698890622 Enrollment ID: I20100915000132 |
| Provider Name | Ginger B Lines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912215260 PECOS PAC ID: 5698961878 Enrollment ID: I20101130000952 |
| Provider Name | Cynthia Branham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336442391 PECOS PAC ID: 4385825710 Enrollment ID: I20110218000065 |
| Provider Name | Kelly B Rhoadarmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194978981 PECOS PAC ID: 5395929434 Enrollment ID: I20110413000980 |
| Provider Name | Rebecca S Gump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780798694 PECOS PAC ID: 2668657404 Enrollment ID: I20110421000222 |
| Provider Name | Patricia D Nikolov |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154632719 PECOS PAC ID: 9830376797 Enrollment ID: I20110602000473 |
| Provider Name | Karen L Mcneely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932101797 PECOS PAC ID: 8628255056 Enrollment ID: I20110610000408 |
| Provider Name | Thomas Nelson Havill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093717878 PECOS PAC ID: 3577740893 Enrollment ID: I20110613000881 |
| Provider Name | Michael Nicholas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124026059 PECOS PAC ID: 5698953685 Enrollment ID: I20110622000013 |
| Provider Name | Brett A Presley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255333092 PECOS PAC ID: 8426236878 Enrollment ID: I20110707000205 |
| Provider Name | Michael E Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659498988 PECOS PAC ID: 6406024041 Enrollment ID: I20110726000254 |
| Provider Name | Jerry Edward Sheward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518969369 PECOS PAC ID: 4587832951 Enrollment ID: I20110729000636 |
| Provider Name | Vanessa Pataky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326208174 PECOS PAC ID: 1456520956 Enrollment ID: I20110817000427 |
| Provider Name | Cynthia D Wilson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134380124 PECOS PAC ID: 0648442434 Enrollment ID: I20111021000222 |
| Provider Name | Brad Uebinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174649545 PECOS PAC ID: 6002075041 Enrollment ID: I20120309000481 |
| Provider Name | Jody Horstman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477501716 PECOS PAC ID: 4385804764 Enrollment ID: I20120321000751 |
| Provider Name | Caitlin E Bryte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972882835 PECOS PAC ID: 8022271634 Enrollment ID: I20120518000004 |
| Provider Name | Gretchen S Cottrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962676536 PECOS PAC ID: 6305090135 Enrollment ID: I20130204000087 |
| Provider Name | Robert J Coykendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356468482 PECOS PAC ID: 0042457657 Enrollment ID: I20130517000480 |
| Provider Name | Andrea Rabadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700228301 PECOS PAC ID: 4688808173 Enrollment ID: I20131016002012 |
| Provider Name | Deborah L Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720412380 PECOS PAC ID: 0345478939 Enrollment ID: I20140103000844 |
| Provider Name | Jessica Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598189946 PECOS PAC ID: 0547490971 Enrollment ID: I20140305001043 |
| Provider Name | Justin Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396047007 PECOS PAC ID: 2668603697 Enrollment ID: I20140314001723 |
| Provider Name | Dianna Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821112186 PECOS PAC ID: 8921231200 Enrollment ID: I20140513000663 |
| Provider Name | Michael Shrift |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255407045 PECOS PAC ID: 2365337631 Enrollment ID: I20140714000176 |
| Provider Name | Ronda Owens-dehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245642024 PECOS PAC ID: 4385860808 Enrollment ID: I20140718000820 |
| Provider Name | Ronald Stachler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366527327 PECOS PAC ID: 5799906640 Enrollment ID: I20141020000083 |
| Provider Name | Patricia Jean Manley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649434663 PECOS PAC ID: 5496977324 Enrollment ID: I20141110001419 |
| Provider Name | Heather R Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609294149 PECOS PAC ID: 6800118068 Enrollment ID: I20141126000101 |
| Provider Name | Joyce Ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578436 PECOS PAC ID: 1759608540 Enrollment ID: I20150316000132 |
| Provider Name | Jacqueline Peoples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831589142 PECOS PAC ID: 6507185584 Enrollment ID: I20150427000275 |
| Provider Name | Shaun Carrico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306105416 PECOS PAC ID: 4587975800 Enrollment ID: I20150612001049 |
| Provider Name | Martha F Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417338591 PECOS PAC ID: 9436461837 Enrollment ID: I20150626000816 |
| Provider Name | Lindsay Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268836 PECOS PAC ID: 8224346846 Enrollment ID: I20151001001074 |
| Provider Name | Amy Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758405 PECOS PAC ID: 7214245570 Enrollment ID: I20151006002336 |
| Provider Name | Brandy M Lopilato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778052 PECOS PAC ID: 1456669514 Enrollment ID: I20151009000948 |
| Provider Name | Melanie Obremski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649642414 PECOS PAC ID: 5193034700 Enrollment ID: I20151022000641 |
| Provider Name | Gina M Marqua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467827097 PECOS PAC ID: 4688976640 Enrollment ID: I20160107001421 |
| Provider Name | Marcia Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326411711 PECOS PAC ID: 8123321361 Enrollment ID: I20160122000551 |
| Provider Name | Robert Beilouny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922049626 PECOS PAC ID: 7113223272 Enrollment ID: I20160316000049 |
| Provider Name | Emily Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931661 PECOS PAC ID: 0840395570 Enrollment ID: I20160412000205 |
| Provider Name | Lindsay M Pringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287853 PECOS PAC ID: 6800195199 Enrollment ID: I20160509002385 |
| Provider Name | Stephanie Sciaudone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053771535 PECOS PAC ID: 0547553729 Enrollment ID: I20160726001119 |
| Provider Name | Paul Ludes Braeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205835121 PECOS PAC ID: 3779862834 Enrollment ID: I20161111001222 |
| Provider Name | John Meteer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619419439 PECOS PAC ID: 8527347624 Enrollment ID: I20161114000240 |
| Provider Name | Brenda Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790793206 PECOS PAC ID: 4284910530 Enrollment ID: I20170420002688 |
| Provider Name | Jillian Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023567104 PECOS PAC ID: 6608154927 Enrollment ID: I20170811000732 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801319231 PECOS PAC ID: 2264705029 Enrollment ID: I20170830002751 |
| Provider Name | Rebecca E Lovejoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730596438 PECOS PAC ID: 2062788300 Enrollment ID: I20171101000254 |
| Provider Name | Julie A Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609387778 PECOS PAC ID: 8123386513 Enrollment ID: I20171212001768 |
| Provider Name | Wayne E. Hoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306012729 PECOS PAC ID: 2860562626 Enrollment ID: I20171213000775 |
| Provider Name | Jonathan W Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386753325 PECOS PAC ID: 3577464395 Enrollment ID: I20171226000133 |
| Provider Name | Patricia E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801304423 PECOS PAC ID: 8527328830 Enrollment ID: I20180206002221 |
| Provider Name | Casimira Lynn Cutrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376882019 PECOS PAC ID: 7416219209 Enrollment ID: I20180314000950 |
| Provider Name | Casey Lynn Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588153746 PECOS PAC ID: 4587928718 Enrollment ID: I20180515003254 |
| Provider Name | Olivia H Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699264572 PECOS PAC ID: 2365797206 Enrollment ID: I20180619000314 |
| Provider Name | Amelia Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295196673 PECOS PAC ID: 0143510933 Enrollment ID: I20180727002061 |
| Provider Name | Christine K Dragoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255784906 PECOS PAC ID: 2668724758 Enrollment ID: I20181018001318 |
| Provider Name | Jaime Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250797 PECOS PAC ID: 5698029726 Enrollment ID: I20181108001437 |
| Provider Name | Katalyn B Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811465073 PECOS PAC ID: 8729332226 Enrollment ID: I20181120001930 |
| Provider Name | Christina M Stuckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841765237 PECOS PAC ID: 3678817996 Enrollment ID: I20181127002714 |
| Provider Name | Courtney Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730650581 PECOS PAC ID: 9335485556 Enrollment ID: I20190109001782 |
| Provider Name | Zachari A George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487126389 PECOS PAC ID: 6709123052 Enrollment ID: I20190124003385 |
| Provider Name | Melissa Marie Etchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425727 PECOS PAC ID: 5991045734 Enrollment ID: I20190314001028 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Joanna Will |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962961631 PECOS PAC ID: 2062752223 Enrollment ID: I20190326000774 |
| Provider Name | Lynn M Tolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114484920 PECOS PAC ID: 7517208358 Enrollment ID: I20190404002201 |
| Provider Name | Rita Joyce Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770147704 PECOS PAC ID: 9335482355 Enrollment ID: I20190515000608 |
| Provider Name | Katherine Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588506 PECOS PAC ID: 4981939709 Enrollment ID: I20190716000579 |
| Provider Name | Katherine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922650308 PECOS PAC ID: 2365778172 Enrollment ID: I20190731001260 |
| Provider Name | Desiree Greer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780101865 PECOS PAC ID: 4284962986 Enrollment ID: I20190819003622 |
| Provider Name | Patrick E Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346895679 PECOS PAC ID: 0446588891 Enrollment ID: I20190822001463 |
| Provider Name | Nicholas Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619525383 PECOS PAC ID: 6800125915 Enrollment ID: I20190913001754 |
| Provider Name | Alyssa Marie Kregloh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528512134 PECOS PAC ID: 4981935228 Enrollment ID: I20191017000668 |
| Provider Name | Huma Hosain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225477409 PECOS PAC ID: 6103134523 Enrollment ID: I20191023003110 |
| Provider Name | Rana Magill Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134775463 PECOS PAC ID: 1951734052 Enrollment ID: I20191203003099 |
| Provider Name | Terry Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477198257 PECOS PAC ID: 4486088531 Enrollment ID: I20191223001645 |
| Provider Name | Melinda Schadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992341861 PECOS PAC ID: 0749614642 Enrollment ID: I20191231002186 |
| Provider Name | Rebecca M Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659896306 PECOS PAC ID: 2769819234 Enrollment ID: I20200221001328 |
| Provider Name | Jennifer Wert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548882475 PECOS PAC ID: 1052732583 Enrollment ID: I20200609000511 |
| Provider Name | Kelli Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013529163 PECOS PAC ID: 3779909627 Enrollment ID: I20200821002646 |
| Provider Name | Ashleigh Wirtner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942807615 PECOS PAC ID: 2365853652 Enrollment ID: I20201117001468 |
| Provider Name | Alicia Marie Johnson Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578924924 PECOS PAC ID: 9931510252 Enrollment ID: I20201117002960 |
| Provider Name | Amanda Slaten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245788363 PECOS PAC ID: 3971915851 Enrollment ID: I20201217001739 |
| Provider Name | Christine Thumma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695160 PECOS PAC ID: 6608280334 Enrollment ID: I20210120002911 |
| Provider Name | Thomas Lims Owusu-asante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821529371 PECOS PAC ID: 5193139764 Enrollment ID: I20210122002440 |
| Provider Name | Erika R Bruggeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366030611 PECOS PAC ID: 2365856374 Enrollment ID: I20210203001938 |
| Provider Name | Shannon Moran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134663248 PECOS PAC ID: 5698183754 Enrollment ID: I20210409001703 |
| Provider Name | Kimberly Dobbyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326635392 PECOS PAC ID: 4385052554 Enrollment ID: I20210428001394 |
| Provider Name | Olivia F Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922504034 PECOS PAC ID: 8729335088 Enrollment ID: I20210719001617 |
| Provider Name | Melissa Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396821724 PECOS PAC ID: 0840284899 Enrollment ID: I20210802001133 |
| Provider Name | Kaitlyn Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093488843 PECOS PAC ID: 4183028921 Enrollment ID: I20210802001697 |
| Provider Name | Mary Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871267351 PECOS PAC ID: 6103220058 Enrollment ID: I20210813002557 |
| Provider Name | Amy Doyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818186 PECOS PAC ID: 3577960426 Enrollment ID: I20210921000743 |
| Provider Name | Amy M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114698032 PECOS PAC ID: 3971991167 Enrollment ID: I20211020001335 |
| Provider Name | Amanda Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891466843 PECOS PAC ID: 8527456524 Enrollment ID: I20211025001363 |
| Provider Name | Kelly Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518546530 PECOS PAC ID: 5698166676 Enrollment ID: I20211230000584 |
| Provider Name | Haylee Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083357818 PECOS PAC ID: 2466849021 Enrollment ID: I20220428001975 |
| Provider Name | Vivian Hinders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710623608 PECOS PAC ID: 7618355009 Enrollment ID: I20220525000989 |
| Provider Name | Olga Marie Dongmo Jiodio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447995881 PECOS PAC ID: 6709267263 Enrollment ID: I20220715000835 |
| Provider Name | Herbert Tafadzkia Zinzombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164178075 PECOS PAC ID: 6709254113 Enrollment ID: I20221116000566 |
| Provider Name | Janet Ruth Bazzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558088187 PECOS PAC ID: 4284007535 Enrollment ID: I20230307001616 |
| Provider Name | Linda Marie Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619395365 PECOS PAC ID: 6103290366 Enrollment ID: I20230330000384 |
| Provider Name | Shannon Wagoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760191399 PECOS PAC ID: 4486029451 Enrollment ID: I20230404002084 |
| Provider Name | Adam Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235827239 PECOS PAC ID: 8527424985 Enrollment ID: I20230510001875 |
| Provider Name | Tristyn T Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922798925 PECOS PAC ID: 6507227147 Enrollment ID: I20230731001020 |
| Provider Name | Eboni Starks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760160469 PECOS PAC ID: 1355704537 Enrollment ID: I20230906001588 |
| Provider Name | Elizabeth Coulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487251930 PECOS PAC ID: 1951721208 Enrollment ID: I20230906002561 |
| Provider Name | Pei-tzu Angela Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144940586 PECOS PAC ID: 1951765163 Enrollment ID: I20230906003154 |
| Provider Name | Madison Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750063707 PECOS PAC ID: 4789048745 Enrollment ID: I20230911001629 |
| Provider Name | James L Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316655178 PECOS PAC ID: 6800242355 Enrollment ID: I20231019003186 |
| Provider Name | Shelby Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811776099 PECOS PAC ID: 0143676551 Enrollment ID: I20231020002195 |
| Provider Name | Madison Renee Teskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710585401 PECOS PAC ID: 1759737174 Enrollment ID: I20231020002371 |
| Provider Name | Lesley Chodkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497102255 PECOS PAC ID: 0446608848 Enrollment ID: I20231125000057 |
| Provider Name | Kaitlyn Ervin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730549247 PECOS PAC ID: 6103275664 Enrollment ID: I20231208001431 |
| Provider Name | Ashleigh Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821776527 PECOS PAC ID: 7315396892 Enrollment ID: I20231208002167 |
| Provider Name | Amanda L Votaw |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407308083 PECOS PAC ID: 3072962562 Enrollment ID: I20231208002455 |
| Provider Name | Brenda Blake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487073938 PECOS PAC ID: 2668821166 Enrollment ID: I20231208002685 |
| Provider Name | Rachael Derrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811421175 PECOS PAC ID: 1355790874 Enrollment ID: I20231209000323 |
| Provider Name | Katrina Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639798820 PECOS PAC ID: 1052760576 Enrollment ID: I20231209000437 |
| Provider Name | Mallory Stapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518687953 PECOS PAC ID: 7113376641 Enrollment ID: I20231209000573 |
| Provider Name | Elizabeth Steuer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902461544 PECOS PAC ID: 4789033119 Enrollment ID: I20231211003529 |
| Provider Name | Terri Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346542016 PECOS PAC ID: 6800245192 Enrollment ID: I20231212002570 |
| Provider Name | Kendall Mosburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003382888 PECOS PAC ID: 9537518683 Enrollment ID: I20231214000722 |
| Provider Name | Kaitlin Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861126369 PECOS PAC ID: 2365891470 Enrollment ID: I20231214003433 |
| Provider Name | Zachary Schenetzke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962722959 PECOS PAC ID: 4183846413 Enrollment ID: I20231216000322 |
| Provider Name | Larry C Davenport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396804548 PECOS PAC ID: 4981054723 Enrollment ID: I20231220001763 |
| Provider Name | Isaiah David Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700596004 PECOS PAC ID: 5890145148 Enrollment ID: I20231228001682 |
| Provider Name | Holly Lynn Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275709537 PECOS PAC ID: 5597117705 Enrollment ID: I20240123002863 |
| Provider Name | Kevin Minnick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134999246 PECOS PAC ID: 9234573908 Enrollment ID: I20240221002075 |
| Provider Name | Brittney Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023873718 PECOS PAC ID: 0042658890 Enrollment ID: I20240329001522 |
| Provider Name | Daniel Brodsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851418727 PECOS PAC ID: 7315385168 Enrollment ID: I20240329001535 |
| Provider Name | Ambia Dorsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316703143 PECOS PAC ID: 3678911427 Enrollment ID: I20240329001565 |
| Provider Name | Ryan David Stadnik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285116111 PECOS PAC ID: 5890134704 Enrollment ID: I20240411002089 |
Anderson Family Health Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Medical Arts Blvd, Suite 100, Anderson, IN 46011 Phone: 765-298-5700 Fax: 765-298-4913 | |
Five J Woodall Medical Director Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 E 360 N, Anderson, IN 46012 Phone: 765-642-8446 Fax: 765-642-7934 | |
Bridges Campbell & Woodall Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Madison Ave, Anderson, IN 46016 Phone: 765-644-3673 Fax: 765-644-3680 | |
Craig Groninger Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Charles St, Anderson, IN 46013 Phone: 765-642-1851 Fax: 765-642-3756 | |
United Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W 38th St, Anderson, IN 46013 Phone: 765-400-0380 Fax: 765-400-0381 | |
Caesars Health Center Hoosier Park Anderson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Dan Patch Cir, Anderson, IN 46013 Phone: 765-609-4711 Fax: 765-609-4713 | |
Indiana Standardbred Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3029 E 41st St, Anderson, IN 46013 Phone: 317-621-1230 |