| Centracare - River Campus Clinic | |
|
1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 240-2118 |
| Full Name | Centracare - River Campus Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Sixth Ave No, St Cloud, Minnesota |
| Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare - River Campus Clinic 1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 Ph: (320) 252-5131 | Centracare - River Campus Clinic 1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 Ph: (320) 252-5131 |
| NPI Number | 1043212665 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2466363395 |
|---|---|
| Medicare Enrollment ID | O20031105000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043212665 | NPI | - | NPPES |
| 6D053CE | Other | BLUE CROSS BLUE SHIELD | |
| N002912 | Other | CHAMPUS | |
| 98-04122 | Other | MEDICA | |
| 35580 | Other | HEALTH PARTNERS | |
| 990228700 | Medicaid | MN | |
| 110890 | Other | U CARE |
| Provider Name | Maureen L Kemper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184719437 PECOS PAC ID: 2163335381 Enrollment ID: I20031112000402 |
| Provider Name | John E Mertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346217874 PECOS PAC ID: 2769396373 Enrollment ID: I20031118000430 |
| Provider Name | Deborah Krahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770518078 PECOS PAC ID: 5294631941 Enrollment ID: I20031211000884 |
| Provider Name | Julie K Youngs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538136882 PECOS PAC ID: 6608777677 Enrollment ID: I20040114000418 |
| Provider Name | Penny L Rubesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013984491 PECOS PAC ID: 1658273784 Enrollment ID: I20040121000242 |
| Provider Name | Olayiwola R Adetunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578552477 PECOS PAC ID: 8123920865 Enrollment ID: I20040123000239 |
| Provider Name | Brett A Pinkerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160583 PECOS PAC ID: 6406758010 Enrollment ID: I20040123000685 |
| Provider Name | Thomas Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285610774 PECOS PAC ID: 2062305246 Enrollment ID: I20040203000239 |
| Provider Name | Randall J Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821005638 PECOS PAC ID: 8921995259 Enrollment ID: I20040302000604 |
| Provider Name | Shakeel Anjum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639169394 PECOS PAC ID: 1456248624 Enrollment ID: I20040302000904 |
| Provider Name | Patrick J Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679554745 PECOS PAC ID: 1456249804 Enrollment ID: I20040308000549 |
| Provider Name | Daron W Gersch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053320739 PECOS PAC ID: 9133017593 Enrollment ID: I20040308000577 |
| Provider Name | Thom G Dahle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760458673 PECOS PAC ID: 4688564081 Enrollment ID: I20040318001068 |
| Provider Name | Pushp R Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184677445 PECOS PAC ID: 7416943758 Enrollment ID: I20040422000818 |
| Provider Name | Liaqat A Sabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083659288 PECOS PAC ID: 6901893270 Enrollment ID: I20040428000957 |
| Provider Name | David G Benditt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073559134 PECOS PAC ID: 9234127200 Enrollment ID: I20040506000419 |
| Provider Name | Louis J Heck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811047517 PECOS PAC ID: 4789674607 Enrollment ID: I20040513000929 |
| Provider Name | Todd M Severnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790775393 PECOS PAC ID: 2567452410 Enrollment ID: I20040513001105 |
| Provider Name | Daniel C E Peterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124005822 PECOS PAC ID: 0446231294 Enrollment ID: I20040527000075 |
| Provider Name | Aaron R Holmgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386624310 PECOS PAC ID: 1850373739 Enrollment ID: I20040603001262 |
| Provider Name | Melissa L Dols |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144288754 PECOS PAC ID: 7719969641 Enrollment ID: I20040604000026 |
| Provider Name | Victoria L Fenstermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114074150 PECOS PAC ID: 7416939087 Enrollment ID: I20040607000553 |
| Provider Name | Jennifer J Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487684098 PECOS PAC ID: 3779569496 Enrollment ID: I20040624001436 |
| Provider Name | Christopher W Boelter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316981053 PECOS PAC ID: 9537145057 Enrollment ID: I20040625000749 |
| Provider Name | Sherrie L Erickson-birkedahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407830482 PECOS PAC ID: 4082690169 Enrollment ID: I20040629000178 |
| Provider Name | Leah A Holmgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982658266 PECOS PAC ID: 1951387976 Enrollment ID: I20040629000551 |
| Provider Name | Kevin August Wohletz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760404354 PECOS PAC ID: 7416937800 Enrollment ID: I20040726000242 |
| Provider Name | Sarah R Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508829037 PECOS PAC ID: 0446220362 Enrollment ID: I20040728001220 |
| Provider Name | Paul R Sander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902918451 PECOS PAC ID: 4486626959 Enrollment ID: I20040806000546 |
| Provider Name | Craig M Doschadis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265423925 PECOS PAC ID: 9830162734 Enrollment ID: I20040818000822 |
| Provider Name | George A Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033288584 PECOS PAC ID: 6305819210 Enrollment ID: I20040818000892 |
| Provider Name | Lisa A Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104282094 PECOS PAC ID: 4880668169 Enrollment ID: I20040823000930 |
| Provider Name | Amy L Fair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245204346 PECOS PAC ID: 4486621158 Enrollment ID: I20040913000706 |
| Provider Name | Julie A Klasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312955 PECOS PAC ID: 2163499849 Enrollment ID: I20040913000763 |
| Provider Name | Donald J Jurgens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134105265 PECOS PAC ID: 3274500418 Enrollment ID: I20040915001205 |
| Provider Name | Paula K Redemske |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962687830 PECOS PAC ID: 1951370121 Enrollment ID: I20040927000033 |
| Provider Name | David A Frenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598727240 PECOS PAC ID: 9234198870 Enrollment ID: I20041008000074 |
| Provider Name | Amanda M Engelking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316972003 PECOS PAC ID: 7315909470 Enrollment ID: I20041101000456 |
| Provider Name | Susan M Piehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790767929 PECOS PAC ID: 0941264162 Enrollment ID: I20041117000757 |
| Provider Name | Albert J Mercuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871557918 PECOS PAC ID: 3375507593 Enrollment ID: I20041117000782 |
| Provider Name | Stephany S Latunski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033100425 PECOS PAC ID: 9931163896 Enrollment ID: I20041119000211 |
| Provider Name | Carol J Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366433849 PECOS PAC ID: 8921062886 Enrollment ID: I20041119000219 |
| Provider Name | Timothy L Malling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277668 PECOS PAC ID: 2567356967 Enrollment ID: I20041123001084 |
| Provider Name | Steven Paul Hanovich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811099419 PECOS PAC ID: 9739145582 Enrollment ID: I20041203000598 |
| Provider Name | Chad A Haroldson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518927433 PECOS PAC ID: 3870550411 Enrollment ID: I20041215000123 |
| Provider Name | Paula A Lindhorst |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164498127 PECOS PAC ID: 8921065285 Enrollment ID: I20041217000661 |
| Provider Name | Arif Somani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363503 PECOS PAC ID: 5991763500 Enrollment ID: I20041229000697 |
| Provider Name | Kurt M Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457377657 PECOS PAC ID: 4587612270 Enrollment ID: I20050110000550 |
| Provider Name | Donna K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811987217 PECOS PAC ID: 1456304070 Enrollment ID: I20050223000751 |
| Provider Name | Walter L Sia Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477542371 PECOS PAC ID: 2466499744 Enrollment ID: I20050408000871 |
| Provider Name | Kristin N M Ewing |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669420709 PECOS PAC ID: 5395782825 Enrollment ID: I20050415000114 |
| Provider Name | Gemma C Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726749 PECOS PAC ID: 0345288015 Enrollment ID: I20050502001067 |
| Provider Name | Jerone D Kennedy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780644401 PECOS PAC ID: 0941293377 Enrollment ID: I20050510000151 |
| Provider Name | Christopher D Leville |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699776310 PECOS PAC ID: 0749221398 Enrollment ID: I20050513000550 |
| Provider Name | Thomas R Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326019159 PECOS PAC ID: 4880635200 Enrollment ID: I20050517000082 |
| Provider Name | Paul E Vangorp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639160898 PECOS PAC ID: 8729020375 Enrollment ID: I20050524001342 |
| Provider Name | Sharon F Lissman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205871993 PECOS PAC ID: 4284626995 Enrollment ID: I20050601000312 |
| Provider Name | Paul L Marek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118920 PECOS PAC ID: 4183695505 Enrollment ID: I20050603000417 |
| Provider Name | Julia Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750497996 PECOS PAC ID: 1052357928 Enrollment ID: I20050630000437 |
| Provider Name | Sandeep S Jain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376528166 PECOS PAC ID: 0244293231 Enrollment ID: I20050706000401 |
| Provider Name | Bryan P Rolph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669463717 PECOS PAC ID: 9436185766 Enrollment ID: I20050708000729 |
| Provider Name | Troy A Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073561619 PECOS PAC ID: 5597678425 Enrollment ID: I20050711000631 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20050713000174 |
| Provider Name | Camelia S Florea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639169303 PECOS PAC ID: 5799712071 Enrollment ID: I20050719000226 |
| Provider Name | Kathryn A Katka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669494159 PECOS PAC ID: 6305873688 Enrollment ID: I20050719000241 |
| Provider Name | Jamie Michael Pelzel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750340485 PECOS PAC ID: 9436186533 Enrollment ID: I20050720000652 |
| Provider Name | Sheila M Christen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184712234 PECOS PAC ID: 3870520604 Enrollment ID: I20050722000436 |
| Provider Name | Rwanda D Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174599641 PECOS PAC ID: 5799713129 Enrollment ID: I20050727001129 |
| Provider Name | Amy L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609866201 PECOS PAC ID: 0446280010 Enrollment ID: I20050815000463 |
| Provider Name | Becky Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336120971 PECOS PAC ID: 8426088998 Enrollment ID: I20050815000482 |
| Provider Name | Maria D Mallory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689664344 PECOS PAC ID: 8628008109 Enrollment ID: I20050815000536 |
| Provider Name | Shawn M Mcgee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427023514 PECOS PAC ID: 2567493877 Enrollment ID: I20050826000215 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
| Provider Name | Joyce C Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922089796 PECOS PAC ID: 8123051737 Enrollment ID: I20050914000862 |
| Provider Name | Nancy J Decker Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407825003 PECOS PAC ID: 8022042712 Enrollment ID: I20050922000081 |
| Provider Name | Scott A Rahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982648671 PECOS PAC ID: 6002891884 Enrollment ID: I20051004000064 |
| Provider Name | Melissa M Barry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700846425 PECOS PAC ID: 2769417278 Enrollment ID: I20051004000545 |
| Provider Name | Rebecca M Wirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619950292 PECOS PAC ID: 6608891585 Enrollment ID: I20051010000867 |
| Provider Name | Clarice H Konshok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106986 PECOS PAC ID: 2668498999 Enrollment ID: I20051017000532 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20051017000936 |
| Provider Name | Dinesh Hindka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949486 PECOS PAC ID: 9931125408 Enrollment ID: I20051024000664 |
| Provider Name | Sayeed Ikramuddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417988510 PECOS PAC ID: 5395763718 Enrollment ID: I20051103001161 |
| Provider Name | Christina K Anderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053313692 PECOS PAC ID: 7618995770 Enrollment ID: I20051107000912 |
| Provider Name | Joni C Zehm-steffens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588646723 PECOS PAC ID: 4385662444 Enrollment ID: I20051107000973 |
| Provider Name | Benjamin B Ranstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376565325 PECOS PAC ID: 3971522400 Enrollment ID: I20051115000068 |
| Provider Name | Kelly Marie Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285605592 PECOS PAC ID: 6002838489 Enrollment ID: I20051229000018 |
| Provider Name | Jeffrey S Gerdes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134181571 PECOS PAC ID: 0749192086 Enrollment ID: I20060124000259 |
| Provider Name | Shannon R Hackett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982622791 PECOS PAC ID: 8123032984 Enrollment ID: I20060131000828 |
| Provider Name | Triniti L Feldhege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962487017 PECOS PAC ID: 5799790564 Enrollment ID: I20060215000447 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| Provider Name | Cynthia J Betzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992742357 PECOS PAC ID: 8426064809 Enrollment ID: I20060222000198 |
| Provider Name | Patrick M Lalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942276902 PECOS PAC ID: 2264448554 Enrollment ID: I20060223000360 |
| Provider Name | Thomas B Falloon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902897051 PECOS PAC ID: 4880604529 Enrollment ID: I20060426000345 |
| Provider Name | Craig John Bergh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780649715 PECOS PAC ID: 5890705917 Enrollment ID: I20060504000026 |
| Provider Name | Denise M Christie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902859200 PECOS PAC ID: 6406866482 Enrollment ID: I20060504000786 |
| Provider Name | David L Furda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887946 PECOS PAC ID: 8628089729 Enrollment ID: I20060602000158 |
| Provider Name | Tamara W Congdon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219056 PECOS PAC ID: 4688685787 Enrollment ID: I20060602000179 |
| Provider Name | Kurt A Martinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245281302 PECOS PAC ID: 8820066889 Enrollment ID: I20060605000148 |
| Provider Name | Patricia A Nee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578553236 PECOS PAC ID: 7810908951 Enrollment ID: I20060605000239 |
| Provider Name | Benjamin Daniel Parker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609823699 PECOS PAC ID: 4082626148 Enrollment ID: I20060608000258 |
| Provider Name | Darren R Chihos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427011857 PECOS PAC ID: 0244243269 Enrollment ID: I20060717000123 |
| Provider Name | Daniel Brent Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295779809 PECOS PAC ID: 0446263230 Enrollment ID: I20060721000005 |
| Provider Name | Robert Christopher Rothaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568442853 PECOS PAC ID: 3870527369 Enrollment ID: I20060727000171 |
| Provider Name | Charles J Doucet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063444149 PECOS PAC ID: 9335152883 Enrollment ID: I20060728000298 |
| Provider Name | Shawn K Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549152 PECOS PAC ID: 2567465628 Enrollment ID: I20060810000552 |
| Provider Name | Wade T Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629031190 PECOS PAC ID: 8820091986 Enrollment ID: I20060810000557 |
| Provider Name | John M Houle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073531885 PECOS PAC ID: 8426052507 Enrollment ID: I20060901000076 |
| Provider Name | Sara E Boleyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396773537 PECOS PAC ID: 6608870530 Enrollment ID: I20060908000039 |
| Provider Name | Dawn M Michaud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316965460 PECOS PAC ID: 6103821327 Enrollment ID: I20060921000582 |
| Provider Name | Yang Koua Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821078783 PECOS PAC ID: 2769487529 Enrollment ID: I20060929000085 |
| Provider Name | Jonathan R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336153725 PECOS PAC ID: 7113924481 Enrollment ID: I20061030000208 |
| Provider Name | Rachel Louise Schuneman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366422214 PECOS PAC ID: 3577560671 Enrollment ID: I20061102000542 |
| Provider Name | Sheri W Haroldson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780613927 PECOS PAC ID: 2769489665 Enrollment ID: I20061108000137 |
| Provider Name | Marcine P Ellwein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487735379 PECOS PAC ID: 4486652781 Enrollment ID: I20061121000334 |
| Provider Name | Nancy L Sokoloski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609859115 PECOS PAC ID: 5698773844 Enrollment ID: I20061122000101 |
| Provider Name | Jennifer N Martinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164526299 PECOS PAC ID: 7719986629 Enrollment ID: I20061204000083 |
| Provider Name | Theodore W Ruzanic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932273943 PECOS PAC ID: 6002816113 Enrollment ID: I20070112000338 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023077740 PECOS PAC ID: 9133167752 Enrollment ID: I20070228000251 |
| Provider Name | Andrew W Kiragu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932128147 PECOS PAC ID: 3971605551 Enrollment ID: I20070228000482 |
| Provider Name | Dahlia H Elkadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902855109 PECOS PAC ID: 2668576299 Enrollment ID: I20070409000382 |
| Provider Name | Troy A Payne |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083682561 PECOS PAC ID: 1759316318 Enrollment ID: I20070424000061 |
| Provider Name | Rufino R Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376665182 PECOS PAC ID: 8426155052 Enrollment ID: I20070516000367 |
| Provider Name | Sujatha Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699899468 PECOS PAC ID: 6608976311 Enrollment ID: I20070711000088 |
| Provider Name | Mohamed Y Maray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396864765 PECOS PAC ID: 4385735521 Enrollment ID: I20070802000326 |
| Provider Name | Jacob R Dutcher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619000999 PECOS PAC ID: 4981795754 Enrollment ID: I20070808000365 |
| Provider Name | Shannon R Cabrera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457423782 PECOS PAC ID: 6608968672 Enrollment ID: I20070822000704 |
| Provider Name | Raza A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669584249 PECOS PAC ID: 3173616950 Enrollment ID: I20070910000997 |
| Provider Name | Daniel W Kraft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982737938 PECOS PAC ID: 3375636038 Enrollment ID: I20070911000653 |
| Provider Name | Agata Bednarz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477671527 PECOS PAC ID: 6305750142 Enrollment ID: I20070921000325 |
| Provider Name | Soumathy Prosper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629271671 PECOS PAC ID: 0143315630 Enrollment ID: I20070928000070 |
| Provider Name | Alyas Masih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356460729 PECOS PAC ID: 6709972599 Enrollment ID: I20071009000719 |
| Provider Name | Charles Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376594457 PECOS PAC ID: 6901994979 Enrollment ID: I20071109000123 |
| Provider Name | Teresa V Levitski-heikkila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366408536 PECOS PAC ID: 8628014941 Enrollment ID: I20071214000305 |
| Provider Name | Susan A Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336334663 PECOS PAC ID: 3779663158 Enrollment ID: I20080110000572 |
| Provider Name | Crispin R Domingo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043354376 PECOS PAC ID: 7315028958 Enrollment ID: I20080121000325 |
| Provider Name | Elizabeth C Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063607083 PECOS PAC ID: 6800978339 Enrollment ID: I20080123000508 |
| Provider Name | Gregory A Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730179870 PECOS PAC ID: 1355334426 Enrollment ID: I20080205000078 |
| Provider Name | Hanadee I Alameldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407864150 PECOS PAC ID: 8628072147 Enrollment ID: I20080205000341 |
| Provider Name | Barbara A Carver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871691691 PECOS PAC ID: 2365526076 Enrollment ID: I20080219000685 |
| Provider Name | Jill T Stang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992796841 PECOS PAC ID: 1951485853 Enrollment ID: I20080303000285 |
| Provider Name | Hart P Garner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497808422 PECOS PAC ID: 8224116314 Enrollment ID: I20080415000154 |
| Provider Name | Penelope J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124003751 PECOS PAC ID: 7810066263 Enrollment ID: I20080527000465 |
| Provider Name | Eric N Haugen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821062415 PECOS PAC ID: 4486759784 Enrollment ID: I20080603000660 |
| Provider Name | Kathleen A Rieke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396899449 PECOS PAC ID: 8729150180 Enrollment ID: I20080701000251 |
| Provider Name | Samuel John Francois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912175233 PECOS PAC ID: 1557433760 Enrollment ID: I20080703000311 |
| Provider Name | Kathleen A Kulus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982685046 PECOS PAC ID: 1557435948 Enrollment ID: I20080802000064 |
| Provider Name | Jody A Kirchner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174566368 PECOS PAC ID: 0547334781 Enrollment ID: I20080805000844 |
| Provider Name | Jeanne M Notsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487644134 PECOS PAC ID: 6800960014 Enrollment ID: I20080806000664 |
| Provider Name | Kurt A Habben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972794865 PECOS PAC ID: 3476629106 Enrollment ID: I20080904000148 |
| Provider Name | Andrew L Wilkey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073646386 PECOS PAC ID: 3072694850 Enrollment ID: I20080917000867 |
| Provider Name | Keith J Leavell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184606311 PECOS PAC ID: 3678640406 Enrollment ID: I20080922000028 |
| Provider Name | Sheri L Pikus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073772653 PECOS PAC ID: 5092882431 Enrollment ID: I20080926000027 |
| Provider Name | Oluade A Ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003898230 PECOS PAC ID: 9436226875 Enrollment ID: I20080926000051 |
| Provider Name | Christine M Bulisco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306061726 PECOS PAC ID: 4981772340 Enrollment ID: I20081013000177 |
| Provider Name | Amy Martyanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922270768 PECOS PAC ID: 3173681459 Enrollment ID: I20081016000014 |
| Provider Name | Deborah F Libbesmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073761557 PECOS PAC ID: 7719045962 Enrollment ID: I20081017000078 |
| Provider Name | Muhammad K Suri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912054214 PECOS PAC ID: 7911065867 Enrollment ID: I20081021000508 |
| Provider Name | John F Knorp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669530952 PECOS PAC ID: 5698876613 Enrollment ID: I20081028000833 |
| Provider Name | Stacy A Peterlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508020769 PECOS PAC ID: 0446319727 Enrollment ID: I20081030000764 |
| Provider Name | Micaela E Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598929812 PECOS PAC ID: 8527127737 Enrollment ID: I20081103000531 |
| Provider Name | William L Goodmanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679554851 PECOS PAC ID: 3476612573 Enrollment ID: I20081104000546 |
| Provider Name | Ellen E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437135027 PECOS PAC ID: 1456412063 Enrollment ID: I20081201000544 |
| Provider Name | Mary C Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922292846 PECOS PAC ID: 9638230295 Enrollment ID: I20081202000303 |
| Provider Name | Susan A Heying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659536548 PECOS PAC ID: 7416018106 Enrollment ID: I20081213000144 |
| Provider Name | Joel E Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922299197 PECOS PAC ID: 8628130366 Enrollment ID: I20081215000450 |
| Provider Name | Robin C Marushin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154466209 PECOS PAC ID: 8527120518 Enrollment ID: I20081230000165 |
| Provider Name | Christopher J Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770757429 PECOS PAC ID: 3274696083 Enrollment ID: I20090105000558 |
| Provider Name | Edward M Beadle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848731 PECOS PAC ID: 6800709544 Enrollment ID: I20090130000160 |
| Provider Name | Michael S Bragge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922264910 PECOS PAC ID: 3870657067 Enrollment ID: I20090203000428 |
| Provider Name | Nelson L Adamson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720155336 PECOS PAC ID: 1557425691 Enrollment ID: I20090204000156 |
| Provider Name | Ann M Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164673190 PECOS PAC ID: 5395800049 Enrollment ID: I20090213000129 |
| Provider Name | Keith G Lurie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679575492 PECOS PAC ID: 4082770383 Enrollment ID: I20090312000250 |
| Provider Name | Dove D Watkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629069778 PECOS PAC ID: 0749257400 Enrollment ID: I20090327000460 |
| Provider Name | Michael L Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744789 PECOS PAC ID: 0941113666 Enrollment ID: I20090403000494 |
| Provider Name | Jasmine S Folger-latterell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942457098 PECOS PAC ID: 3274680392 Enrollment ID: I20090407000376 |
| Provider Name | Dennis L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508885013 PECOS PAC ID: 5991781437 Enrollment ID: I20090408000331 |
| Provider Name | Cynthia K Gronau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124094842 PECOS PAC ID: 0749337699 Enrollment ID: I20090409000437 |
| Provider Name | Timothy N Rowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457592909 PECOS PAC ID: 1850449851 Enrollment ID: I20090430000531 |
| Provider Name | Amy C Keranen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376745810 PECOS PAC ID: 6406908151 Enrollment ID: I20090710000325 |
| Provider Name | Richard J Backes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871595686 PECOS PAC ID: 0648322750 Enrollment ID: I20090721000759 |
| Provider Name | Bernard R Erickson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306848122 PECOS PAC ID: 1456403468 Enrollment ID: I20090722000049 |
| Provider Name | Timothy N Schuchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114913217 PECOS PAC ID: 1456403476 Enrollment ID: I20090722000059 |
| Provider Name | Jeffrey E Nowak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972710143 PECOS PAC ID: 4385736172 Enrollment ID: I20090722000296 |
| Provider Name | Srilakshmi Lankireddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376706580 PECOS PAC ID: 8527129766 Enrollment ID: I20090723000807 |
| Provider Name | Daniel James Tiede |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306839949 PECOS PAC ID: 8628121514 Enrollment ID: I20090724000104 |
| Provider Name | Mary K Hellier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356391015 PECOS PAC ID: 5395898266 Enrollment ID: I20090727000047 |
| Provider Name | James R Sayovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427094606 PECOS PAC ID: 5395898720 Enrollment ID: I20090803000679 |
| Provider Name | Benedict R Haeg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023053659 PECOS PAC ID: 7810040243 Enrollment ID: I20090803000711 |
| Provider Name | Ulrika Margaret Wigert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427084557 PECOS PAC ID: 2264585546 Enrollment ID: I20090804000471 |
| Provider Name | Bharath Manu Akkara Veetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023174323 PECOS PAC ID: 1153474374 Enrollment ID: I20090805000086 |
| Provider Name | Hieu J Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194710061 PECOS PAC ID: 8022162981 Enrollment ID: I20090812000596 |
| Provider Name | Ravikanth Nathani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366641052 PECOS PAC ID: 3274687983 Enrollment ID: I20090814000332 |
| Provider Name | John Michael Mahowald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952303570 PECOS PAC ID: 0042364788 Enrollment ID: I20090814000589 |
| Provider Name | Mary M Stuvland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033348222 PECOS PAC ID: 4688729411 Enrollment ID: I20090831000664 |
| Provider Name | Nathan R Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346416880 PECOS PAC ID: 1658426317 Enrollment ID: I20090901000418 |
| Provider Name | Alexander J Schad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093900011 PECOS PAC ID: 4587719141 Enrollment ID: I20090902000704 |
| Provider Name | Kevin R Switzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285660548 PECOS PAC ID: 1456337997 Enrollment ID: I20090909000447 |
| Provider Name | Libby M Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649447715 PECOS PAC ID: 4183779481 Enrollment ID: I20090910000513 |
| Provider Name | Julie C Gauderman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578790416 PECOS PAC ID: 4082760244 Enrollment ID: I20090914000508 |
| Provider Name | Jessica R Baitani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285800466 PECOS PAC ID: 6507912334 Enrollment ID: I20090921000434 |
| Provider Name | Nathaniel Reuter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457479446 PECOS PAC ID: 8921199373 Enrollment ID: I20090924000337 |
| Provider Name | Valery A Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649415811 PECOS PAC ID: 5395881130 Enrollment ID: I20091007000694 |
| Provider Name | Carmen M Buiceag Arama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659490001 PECOS PAC ID: 2567508294 Enrollment ID: I20091009000054 |
| Provider Name | Amanda L Lovold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821252800 PECOS PAC ID: 3678619210 Enrollment ID: I20091012000492 |
| Provider Name | Jeffrey T Pearson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487798302 PECOS PAC ID: 1052458585 Enrollment ID: I20091102000288 |
| Provider Name | Richard L Aplin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841284791 PECOS PAC ID: 6901944271 Enrollment ID: I20091105000598 |
| Provider Name | Rachel Wenner Ruzanic |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073708608 PECOS PAC ID: 3274671045 Enrollment ID: I20091116000405 |
| Provider Name | Christina M Drontle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205160116 PECOS PAC ID: 5496894206 Enrollment ID: I20091207000613 |
| Provider Name | Kristi M Sabrowsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104059302 PECOS PAC ID: 1557400330 Enrollment ID: I20091208000542 |
| Provider Name | Mark E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568454502 PECOS PAC ID: 2466592191 Enrollment ID: I20091210000497 |
| Provider Name | Nicole A Halverson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528391174 PECOS PAC ID: 8921148479 Enrollment ID: I20091215000240 |
| Provider Name | Lydia M Wade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992926893 PECOS PAC ID: 0941340319 Enrollment ID: I20091215000531 |
| Provider Name | Albert S Hammond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457342503 PECOS PAC ID: 2062552086 Enrollment ID: I20091222000466 |
| Provider Name | Steven H Bollinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225029374 PECOS PAC ID: 2860532884 Enrollment ID: I20091222000488 |
| Provider Name | Denise L Lenarz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336130582 PECOS PAC ID: 2365583515 Enrollment ID: I20100109000200 |
| Provider Name | Thomas John Satre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851369862 PECOS PAC ID: 1759423635 Enrollment ID: I20100115000589 |
| Provider Name | Joseph M Blonski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316915325 PECOS PAC ID: 5698798270 Enrollment ID: I20100116000065 |
| Provider Name | Deborah P Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443069 PECOS PAC ID: 4587706312 Enrollment ID: I20100116000223 |
| Provider Name | Thomas M Math |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215927835 PECOS PAC ID: 1850433681 Enrollment ID: I20100116000229 |
| Provider Name | Holly C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356339303 PECOS PAC ID: 8022150853 Enrollment ID: I20100116000241 |
| Provider Name | Douglas S Brew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568453710 PECOS PAC ID: 6305988460 Enrollment ID: I20100127000768 |
| Provider Name | Rene Eldidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342032 PECOS PAC ID: 4082756150 Enrollment ID: I20100127000929 |
| Provider Name | Tammy L Meyerhofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659362507 PECOS PAC ID: 0547302549 Enrollment ID: I20100128000343 |
| Provider Name | Thomas W Leither |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982694584 PECOS PAC ID: 8820029556 Enrollment ID: I20100128000360 |
| Provider Name | Rebecca L Wertish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568798700 PECOS PAC ID: 4183767817 Enrollment ID: I20100203000739 |
| Provider Name | Karen L Then |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467442137 PECOS PAC ID: 6002959517 Enrollment ID: I20100205000549 |
| Provider Name | Katherine E Pillote |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235129644 PECOS PAC ID: 1052324902 Enrollment ID: I20100205000555 |
| Provider Name | Alan G Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619943081 PECOS PAC ID: 2769570126 Enrollment ID: I20100208000268 |
| Provider Name | Kathryn A Mechelke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366432015 PECOS PAC ID: 2769526698 Enrollment ID: I20100216000648 |
| Provider Name | Paul M Wenner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326097882 PECOS PAC ID: 2163566001 Enrollment ID: I20100216000825 |
| Provider Name | Mark D Holm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831189240 PECOS PAC ID: 1557405818 Enrollment ID: I20100224000603 |
| Provider Name | Christian P Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497745152 PECOS PAC ID: 1052455318 Enrollment ID: I20100224000643 |
| Provider Name | David L Shuster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245220904 PECOS PAC ID: 9638214893 Enrollment ID: I20100227000012 |
| Provider Name | Scot W Hutton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528058930 PECOS PAC ID: 1052223161 Enrollment ID: I20100227000036 |
| Provider Name | David A Kroska |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528059185 PECOS PAC ID: 3870638042 Enrollment ID: I20100227000060 |
| Provider Name | Stacia S Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720079981 PECOS PAC ID: 2860537032 Enrollment ID: I20100227000081 |
| Provider Name | Nicholas F Reuter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871584557 PECOS PAC ID: 7618012774 Enrollment ID: I20100302000081 |
| Provider Name | Eric T Mcfarling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467437251 PECOS PAC ID: 9436061546 Enrollment ID: I20100302000100 |
| Provider Name | David J Tilstra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316928351 PECOS PAC ID: 3971686452 Enrollment ID: I20100302000134 |
| Provider Name | Darin D Willardsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20100302000141 |
| Provider Name | Thomas J Nardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144210808 PECOS PAC ID: 2567507635 Enrollment ID: I20100302000157 |
| Provider Name | Lynn M Mcfarling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215927975 PECOS PAC ID: 3173668241 Enrollment ID: I20100302000172 |
| Provider Name | Paul Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770573420 PECOS PAC ID: 4284779174 Enrollment ID: I20100303000430 |
| Provider Name | Paul A Spinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141908 PECOS PAC ID: 8123163045 Enrollment ID: I20100303000697 |
| Provider Name | Sharon J Ruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629068390 PECOS PAC ID: 3274678198 Enrollment ID: I20100303000737 |
| Provider Name | Thomas G Schrup |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811988769 PECOS PAC ID: 8628970720 Enrollment ID: I20100315000177 |
| Provider Name | Jeffrey Ja Enstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104885888 PECOS PAC ID: 8325173461 Enrollment ID: I20100315000926 |
| Provider Name | Janet M Handrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801873047 PECOS PAC ID: 3072640275 Enrollment ID: I20100420000622 |
| Provider Name | Daniel R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588150 PECOS PAC ID: 1951438167 Enrollment ID: I20100420000788 |
| Provider Name | Hani S Alkhatib |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750372900 PECOS PAC ID: 1153458146 Enrollment ID: I20100422001051 |
| Provider Name | Stephen J Jameson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598825 PECOS PAC ID: 9032246723 Enrollment ID: I20100429000297 |
| Provider Name | Gregory S Parries |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891739538 PECOS PAC ID: 8628964756 Enrollment ID: I20100504000877 |
| Provider Name | John A Sebas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275500233 PECOS PAC ID: 4880722800 Enrollment ID: I20100512001067 |
| Provider Name | Dale J Minnerath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891778155 PECOS PAC ID: 6406768514 Enrollment ID: I20100520000786 |
| Provider Name | Kevin J Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790712388 PECOS PAC ID: 0042295826 Enrollment ID: I20100603000663 |
| Provider Name | Kimberly L Tjaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659316891 PECOS PAC ID: 5890770671 Enrollment ID: I20100603000914 |
| Provider Name | Mary Joy L Sia Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374136 PECOS PAC ID: 1759411572 Enrollment ID: I20100604000718 |
| Provider Name | Barbara J Bollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174512081 PECOS PAC ID: 6608906342 Enrollment ID: I20100607000877 |
| Provider Name | Kimberly W Spaulding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538197892 PECOS PAC ID: 8729063508 Enrollment ID: I20100616000535 |
| Provider Name | Carl M Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164452785 PECOS PAC ID: 3476683566 Enrollment ID: I20100616000729 |
| Provider Name | Timothy F Ebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286851 PECOS PAC ID: 3678558459 Enrollment ID: I20100616000805 |
| Provider Name | Steven M Danielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033145958 PECOS PAC ID: 9436289543 Enrollment ID: I20100616000907 |
| Provider Name | Frank T Barnaby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386672210 PECOS PAC ID: 0941285761 Enrollment ID: I20100616000930 |
| Provider Name | Elaina R Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336181460 PECOS PAC ID: 9830174614 Enrollment ID: I20100616000958 |
| Provider Name | Lori Ann Pinke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427022425 PECOS PAC ID: 6709872526 Enrollment ID: I20100623000863 |
| Provider Name | Tera A Wenzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922324474 PECOS PAC ID: 0143352138 Enrollment ID: I20100708001062 |
| Provider Name | Mark A Eggen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861439028 PECOS PAC ID: 3870625585 Enrollment ID: I20100715000792 |
| Provider Name | Ethan B Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851615108 PECOS PAC ID: 0446382162 Enrollment ID: I20100715000875 |
| Provider Name | Kristina M Wakeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356652861 PECOS PAC ID: 0244363745 Enrollment ID: I20100804000965 |
| Provider Name | Bethany T Dingmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659694628 PECOS PAC ID: 7911030366 Enrollment ID: I20100805000207 |
| Provider Name | Philip F Boyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376534024 PECOS PAC ID: 5294625919 Enrollment ID: I20100824001152 |
| Provider Name | Alan D Reitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336130517 PECOS PAC ID: 8123918877 Enrollment ID: I20100824001216 |
| Provider Name | Alan W Mcmillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669463139 PECOS PAC ID: 2163312802 Enrollment ID: I20100824001241 |
| Provider Name | Frank P Nellans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992796460 PECOS PAC ID: 2163312810 Enrollment ID: I20100824001252 |
| Provider Name | Wayne R Jandik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174514731 PECOS PAC ID: 1254221971 Enrollment ID: I20100824001262 |
| Provider Name | Theodore A Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457342628 PECOS PAC ID: 2860382512 Enrollment ID: I20100824001296 |
| Provider Name | Chad M Kissela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912998584 PECOS PAC ID: 6204726946 Enrollment ID: I20100824001305 |
| Provider Name | Leslee J Jaeger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346286838 PECOS PAC ID: 4082738208 Enrollment ID: I20100825000300 |
| Provider Name | Michelle L Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881685279 PECOS PAC ID: 2264557115 Enrollment ID: I20100915000482 |
| Provider Name | William S Lindell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073504585 PECOS PAC ID: 2860517307 Enrollment ID: I20100921000499 |
| Provider Name | Todd Belling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114918695 PECOS PAC ID: 5193840643 Enrollment ID: I20100921000575 |
| Provider Name | Lanse C Lang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972594547 PECOS PAC ID: 2466342100 Enrollment ID: I20100921000838 |
| Provider Name | Peter W Waldusky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194714097 PECOS PAC ID: 7012109895 Enrollment ID: I20101012000727 |
| Provider Name | Bobbie Jo Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275844011 PECOS PAC ID: 3678766177 Enrollment ID: I20101015001094 |
| Provider Name | Jennifer L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366761629 PECOS PAC ID: 3072706431 Enrollment ID: I20101019000436 |
| Provider Name | Patrick M Kern |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689879728 PECOS PAC ID: 6608069828 Enrollment ID: I20101020001203 |
| Provider Name | Jeremy M Skramsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837318 PECOS PAC ID: 7113110826 Enrollment ID: I20101026000337 |
| Provider Name | Shayne Luther Hogenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649261207 PECOS PAC ID: 0345130068 Enrollment ID: I20101104001340 |
| Provider Name | Marie A Guanzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780664631 PECOS PAC ID: 0446163117 Enrollment ID: I20101110000133 |
| Provider Name | Arihant Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336333848 PECOS PAC ID: 8426247206 Enrollment ID: I20110110000384 |
| Provider Name | James John T Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801876743 PECOS PAC ID: 8921051020 Enrollment ID: I20110126000149 |
| Provider Name | Christopher S Harbaugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427089820 PECOS PAC ID: 3870772270 Enrollment ID: I20110131000627 |
| Provider Name | Evelyn J Erickson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568480366 PECOS PAC ID: 3476589227 Enrollment ID: I20110131000670 |
| Provider Name | Thomas L Satterberg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144248956 PECOS PAC ID: 1759317506 Enrollment ID: I20110131000764 |
| Provider Name | Julie V Bechtel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669638581 PECOS PAC ID: 5294762829 Enrollment ID: I20110217000244 |
| Provider Name | Ceree E George |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083764476 PECOS PAC ID: 8527249812 Enrollment ID: I20110218000819 |
| Provider Name | Janelle L Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902897853 PECOS PAC ID: 6204017486 Enrollment ID: I20110221001032 |
| Provider Name | Somendra Vaishnav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609043843 PECOS PAC ID: 1658552278 Enrollment ID: I20110301001136 |
| Provider Name | Kaylle Rose Schmit Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144533290 PECOS PAC ID: 0143402735 Enrollment ID: I20110302000839 |
| Provider Name | Scott M Abrams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265498430 PECOS PAC ID: 5496937807 Enrollment ID: I20110307000552 |
| Provider Name | Christopher M Tacl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972533776 PECOS PAC ID: 3173508959 Enrollment ID: I20110323000254 |
| Provider Name | Hilary I Ufearo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366626343 PECOS PAC ID: 7416130307 Enrollment ID: I20110330000960 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407040892 PECOS PAC ID: 0648453407 Enrollment ID: I20110331000827 |
| Provider Name | Chelsey L Olander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093025009 PECOS PAC ID: 2365626819 Enrollment ID: I20110408000009 |
| Provider Name | Geri Newman Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558320044 PECOS PAC ID: 7012049802 Enrollment ID: I20110503000388 |
| Provider Name | Rebecca A Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336442144 PECOS PAC ID: 2264617349 Enrollment ID: I20110505000365 |
| Provider Name | Lori A Edlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821388372 PECOS PAC ID: 7719163575 Enrollment ID: I20110512000775 |
| Provider Name | Angela M Beck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275825234 PECOS PAC ID: 9234316027 Enrollment ID: I20110603000155 |
| Provider Name | Boaz Ovadia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952436289 PECOS PAC ID: 9234234246 Enrollment ID: I20110622000173 |
| Provider Name | Nathaniel John Uy Castro |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184854218 PECOS PAC ID: 6204014210 Enrollment ID: I20110622000186 |
| Provider Name | Xiaofang Sheng Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592804 PECOS PAC ID: 3274606462 Enrollment ID: I20110627000130 |
| Provider Name | Jessie L Roske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124258686 PECOS PAC ID: 5092983981 Enrollment ID: I20110720000304 |
| Provider Name | Nathan D Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962677518 PECOS PAC ID: 3870761570 Enrollment ID: I20110725000410 |
| Provider Name | Melissa M Ensign |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134377989 PECOS PAC ID: 1850569559 Enrollment ID: I20110725000431 |
| Provider Name | Judith L Mcelhiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877203 PECOS PAC ID: 6103956651 Enrollment ID: I20110801000482 |
| Provider Name | Nabeel B Ailabouni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043479876 PECOS PAC ID: 6305032467 Enrollment ID: I20110919000714 |
| Provider Name | Nicole Ann Ouke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891077475 PECOS PAC ID: 6507037264 Enrollment ID: I20110929000363 |
| Provider Name | Henry P Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003863366 PECOS PAC ID: 4486541083 Enrollment ID: I20111006000780 |
| Provider Name | Lesley Rae Kurowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510700 PECOS PAC ID: 2062684889 Enrollment ID: I20111020000091 |
| Provider Name | Jill L Amsberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649432204 PECOS PAC ID: 8729252267 Enrollment ID: I20111121000105 |
| Provider Name | Rebecca K Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457556144 PECOS PAC ID: 8224202395 Enrollment ID: I20111130000017 |
| Provider Name | Bartley B Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421642 PECOS PAC ID: 2163590852 Enrollment ID: I20111220000138 |
| Provider Name | Kayla Mae Carlson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073880464 PECOS PAC ID: 4183881766 Enrollment ID: I20120209000400 |
| Provider Name | Stephanie J Mcgreevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568743524 PECOS PAC ID: 9537326012 Enrollment ID: I20120210000790 |
| Provider Name | Brent B Barnstuble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720028038 PECOS PAC ID: 0749319184 Enrollment ID: I20120227000165 |
| Provider Name | Richard E Cash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206640 PECOS PAC ID: 3577548395 Enrollment ID: I20120606000725 |
| Provider Name | Amy M Railson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285990226 PECOS PAC ID: 5294981346 Enrollment ID: I20120806000901 |
| Provider Name | John A Schoenhard |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699865840 PECOS PAC ID: 2466608823 Enrollment ID: I20120820000143 |
| Provider Name | Derek R Weiland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336320225 PECOS PAC ID: 2264689454 Enrollment ID: I20120822000709 |
| Provider Name | Travis R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245465244 PECOS PAC ID: 3476700469 Enrollment ID: I20120827000444 |
| Provider Name | Viktoriya V Vladykina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780993345 PECOS PAC ID: 7315194941 Enrollment ID: I20120904000277 |
| Provider Name | Peter Dehnel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184604407 PECOS PAC ID: 0042391302 Enrollment ID: I20120907000434 |
| Provider Name | Lindsey R Chmielewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326333824 PECOS PAC ID: 0143478867 Enrollment ID: I20120920000688 |
| Provider Name | Lucio R Minces |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811173271 PECOS PAC ID: 3072791003 Enrollment ID: I20121002000539 |
| Provider Name | Oluyemi A Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972701217 PECOS PAC ID: 9931296761 Enrollment ID: I20121004000874 |
| Provider Name | Christopher L Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376785212 PECOS PAC ID: 7517117062 Enrollment ID: I20121018000736 |
| Provider Name | Amanda B Welle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184970444 PECOS PAC ID: 0345490678 Enrollment ID: I20121023000637 |
| Provider Name | Tiffany M Rickbeil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538303938 PECOS PAC ID: 7719137736 Enrollment ID: I20121026000472 |
| Provider Name | Rebecca J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821345844 PECOS PAC ID: 5092965061 Enrollment ID: I20121029000339 |
| Provider Name | David A Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982831210 PECOS PAC ID: 2860642782 Enrollment ID: I20121030000172 |
| Provider Name | Ann M Gustafson-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952420333 PECOS PAC ID: 3173774312 Enrollment ID: I20121115000302 |
| Provider Name | Megan M Ahrndt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972866440 PECOS PAC ID: 0345491478 Enrollment ID: I20121119000088 |
| Provider Name | Amy F Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619231834 PECOS PAC ID: 1153572219 Enrollment ID: I20121119000460 |
| Provider Name | Alberto Orioles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053581876 PECOS PAC ID: 5193977700 Enrollment ID: I20121205000579 |
| Provider Name | Catherine J Standfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477808210 PECOS PAC ID: 2264684653 Enrollment ID: I20121211000348 |
| Provider Name | Ryan M Engdahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407148588 PECOS PAC ID: 5193978104 Enrollment ID: I20121226000099 |
| Provider Name | Ingrid A Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336491745 PECOS PAC ID: 9931352432 Enrollment ID: I20130112000020 |
| Provider Name | Tracy A Roehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043563463 PECOS PAC ID: 2264686823 Enrollment ID: I20130206000465 |
| Provider Name | Amy Marie Thesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942558747 PECOS PAC ID: 2062666480 Enrollment ID: I20130211000468 |
| Provider Name | Tamara D Zarogoza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831441245 PECOS PAC ID: 2163677022 Enrollment ID: I20130225000432 |
| Provider Name | April M Stadtler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821360579 PECOS PAC ID: 1153576988 Enrollment ID: I20130228000474 |
| Provider Name | Katherine G Krebs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740534007 PECOS PAC ID: 9931345360 Enrollment ID: I20130409000433 |
| Provider Name | Claire H Dutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386987378 PECOS PAC ID: 3779720255 Enrollment ID: I20130501000387 |
| Provider Name | Elizabeth K Blixt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487900577 PECOS PAC ID: 2860633401 Enrollment ID: I20130724000911 |
| Provider Name | Leah R Roering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194951095 PECOS PAC ID: 5991947822 Enrollment ID: I20130806000434 |
| Provider Name | Andrea M Lundeen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730344664 PECOS PAC ID: 8426290826 Enrollment ID: I20130814000976 |
| Provider Name | Timothy G Vedder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407818388 PECOS PAC ID: 8921255084 Enrollment ID: I20130823000754 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20130926000149 |
| Provider Name | Michelle Joan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447682885 PECOS PAC ID: 1052545647 Enrollment ID: I20131015000868 |
| Provider Name | Kasy L Omann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995272 PECOS PAC ID: 7214162205 Enrollment ID: I20131029000906 |
| Provider Name | Erica L Klimmek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588096101 PECOS PAC ID: 3375778004 Enrollment ID: I20131105000122 |
| Provider Name | David M Truscinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083059075 PECOS PAC ID: 1557596236 Enrollment ID: I20131105001514 |
| Provider Name | Andrew O Connor Maloney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518260876 PECOS PAC ID: 8527293182 Enrollment ID: I20131107000177 |
| Provider Name | Kenneth J Shea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881855187 PECOS PAC ID: 5799910212 Enrollment ID: I20131108000429 |
| Provider Name | Keith E Furzland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497198733 PECOS PAC ID: 4183859630 Enrollment ID: I20131108001338 |
| Provider Name | Emily Louise Bakker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699102152 PECOS PAC ID: 6204062656 Enrollment ID: I20131113001971 |
| Provider Name | Kristina A Kase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609218833 PECOS PAC ID: 7810123544 Enrollment ID: I20131202000307 |
| Provider Name | Jenna Marie Vanloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509425 PECOS PAC ID: 9537396809 Enrollment ID: I20131211001287 |
| Provider Name | Jennifer A Porter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649513979 PECOS PAC ID: 7214165828 Enrollment ID: I20140106000043 |
| Provider Name | Kelly J Erhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174957401 PECOS PAC ID: 4284862814 Enrollment ID: I20140106000569 |
| Provider Name | Scott T Bertram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801226923 PECOS PAC ID: 1658509195 Enrollment ID: I20140108001505 |
| Provider Name | Tania M Hassler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225012057 PECOS PAC ID: 4385638725 Enrollment ID: I20140122000917 |
| Provider Name | Saurin G Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336182880 PECOS PAC ID: 6901801208 Enrollment ID: I20140303000393 |
| Provider Name | Walid M Maalouli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912079609 PECOS PAC ID: 7416188941 Enrollment ID: I20140327000148 |
| Provider Name | Jessica F Wilmes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891123048 PECOS PAC ID: 6608009246 Enrollment ID: I20140506000101 |
| Provider Name | Erik Christopher Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730348319 PECOS PAC ID: 3577701739 Enrollment ID: I20140507001999 |
| Provider Name | Erin F Osmundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720045735 PECOS PAC ID: 3072746312 Enrollment ID: I20140512001566 |
| Provider Name | Andrew Peter Windsperger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124280425 PECOS PAC ID: 8426297623 Enrollment ID: I20140516001300 |
| Provider Name | Yaga Saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053731752 PECOS PAC ID: 3476776576 Enrollment ID: I20140517000188 |
| Provider Name | Jennifer M Taves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629344023 PECOS PAC ID: 4284857269 Enrollment ID: I20140520000833 |
| Provider Name | Federica Fromm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194055830 PECOS PAC ID: 9931358264 Enrollment ID: I20140528001540 |
| Provider Name | Sarah Jane Ibeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962812503 PECOS PAC ID: 9436372067 Enrollment ID: I20140528001683 |
| Provider Name | Larry V Hook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780909168 PECOS PAC ID: 6800059833 Enrollment ID: I20140623000545 |
| Provider Name | Suzanne Sara Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300742 PECOS PAC ID: 7315161916 Enrollment ID: I20140623001668 |
| Provider Name | Diego F Tovar Quiroga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790099380 PECOS PAC ID: 6103040647 Enrollment ID: I20140624000744 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Amanda L Myran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336569243 PECOS PAC ID: 8224253281 Enrollment ID: I20140707001274 |
| Provider Name | Nichole Leigh Cummings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558641951 PECOS PAC ID: 9931325339 Enrollment ID: I20140721001469 |
| Provider Name | Christopher W Wieland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093025801 PECOS PAC ID: 0941442164 Enrollment ID: I20140722000150 |
| Provider Name | Cory Alan Yarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346536885 PECOS PAC ID: 7911123369 Enrollment ID: I20140722000418 |
| Provider Name | Abigail L Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356630636 PECOS PAC ID: 1153547294 Enrollment ID: I20140724002357 |
| Provider Name | Michael J Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220712 PECOS PAC ID: 2668699109 Enrollment ID: I20140807000616 |
| Provider Name | Gary S Tatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386645125 PECOS PAC ID: 4183666126 Enrollment ID: I20140822002138 |
| Provider Name | Jacob W Eiler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255656997 PECOS PAC ID: 8224261979 Enrollment ID: I20140926000795 |
| Provider Name | Charles Snow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689745747 PECOS PAC ID: 4284804840 Enrollment ID: I20141015002408 |
| Provider Name | Erica A Kuhlmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548441603 PECOS PAC ID: 3971634726 Enrollment ID: I20141029002590 |
| Provider Name | Erin L Hanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871886523 PECOS PAC ID: 3577785542 Enrollment ID: I20141106000488 |
| Provider Name | Amber D Rossin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518368133 PECOS PAC ID: 7719209865 Enrollment ID: I20141201001671 |
| Provider Name | Sarah Polcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982991964 PECOS PAC ID: 0143451641 Enrollment ID: I20141230000527 |
| Provider Name | Courtney Jean Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255746665 PECOS PAC ID: 3375867237 Enrollment ID: I20150123001512 |
| Provider Name | Jenny L Martino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346396538 PECOS PAC ID: 4587790746 Enrollment ID: I20150205001089 |
| Provider Name | Laurie Jo Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679551329 PECOS PAC ID: 9335303163 Enrollment ID: I20150207000125 |
| Provider Name | Nicholas James Maurer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679961809 PECOS PAC ID: 6507181773 Enrollment ID: I20150210001257 |
| Provider Name | Kristin A Gjerset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911127 PECOS PAC ID: 4880910272 Enrollment ID: I20150302001687 |
| Provider Name | Gregory J Trobec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184022733 PECOS PAC ID: 3678899085 Enrollment ID: I20150302002244 |
| Provider Name | Jose Enrique Gomez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194748657 PECOS PAC ID: 4385867456 Enrollment ID: I20150306001477 |
| Provider Name | Milissa Sue Mcduffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933366 PECOS PAC ID: 6608193073 Enrollment ID: I20150324000035 |
| Provider Name | Katie L Hegdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649676487 PECOS PAC ID: 1355660002 Enrollment ID: I20150501001057 |
| Provider Name | Timothy M Ehle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659575702 PECOS PAC ID: 2466510573 Enrollment ID: I20150508002165 |
| Provider Name | Danielle B Armbrust |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598024218 PECOS PAC ID: 6204155450 Enrollment ID: I20150509000399 |
| Provider Name | Rachel R Raab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798827 PECOS PAC ID: 4981925344 Enrollment ID: I20150610001903 |
| Provider Name | Fateh Bazerbachi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316208473 PECOS PAC ID: 3779804059 Enrollment ID: I20150611002821 |
| Provider Name | Sharath S Subramanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619047529 PECOS PAC ID: 6103956537 Enrollment ID: I20150623000954 |
| Provider Name | Daren S Danielson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720252455 PECOS PAC ID: 6204729585 Enrollment ID: I20150630001721 |
| Provider Name | Mark A Weisbrod |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316141914 PECOS PAC ID: 7911089321 Enrollment ID: I20150702002180 |
| Provider Name | Lindy Watanaskul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407147465 PECOS PAC ID: 0244543601 Enrollment ID: I20150715000133 |
| Provider Name | Kelsey J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568845238 PECOS PAC ID: 6709190051 Enrollment ID: I20150731014432 |
| Provider Name | Gerald A Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881802999 PECOS PAC ID: 7618024159 Enrollment ID: I20150819006901 |
| Provider Name | Muaz Alabd Alrazzak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508112731 PECOS PAC ID: 7012223860 Enrollment ID: I20150825003980 |
| Provider Name | Sarah Abdul Jabbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932489002 PECOS PAC ID: 1052627809 Enrollment ID: I20150825004189 |
| Provider Name | John D Mayerhofer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144586918 PECOS PAC ID: 0547577256 Enrollment ID: I20150914000363 |
| Provider Name | Moeed Asghar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215171285 PECOS PAC ID: 9537476197 Enrollment ID: I20150914002559 |
| Provider Name | Timothy E Hopkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437131513 PECOS PAC ID: 3971587031 Enrollment ID: I20150916001646 |
| Provider Name | Boe T Brink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497139612 PECOS PAC ID: 4284941279 Enrollment ID: I20150924000418 |
| Provider Name | Allison T Doerfler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255708368 PECOS PAC ID: 3274841192 Enrollment ID: I20150925002248 |
| Provider Name | Lauren M Line |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780051458 PECOS PAC ID: 3476861139 Enrollment ID: I20150929001996 |
| Provider Name | Michael D Neumann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861877201 PECOS PAC ID: 3971811449 Enrollment ID: I20151002000102 |
| Provider Name | Rebecca K Stepan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336409507 PECOS PAC ID: 7810206984 Enrollment ID: I20151013000818 |
| Provider Name | Larae A Lymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327651 PECOS PAC ID: 2567771462 Enrollment ID: I20151015001080 |
| Provider Name | Kristy E Peterfeso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140881 PECOS PAC ID: 9032428677 Enrollment ID: I20151021001178 |
| Provider Name | Elizabeth Anne Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386871622 PECOS PAC ID: 5799918744 Enrollment ID: I20151021001991 |
| Provider Name | Brad John Rohr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407196975 PECOS PAC ID: 3779721386 Enrollment ID: I20151022002328 |
| Provider Name | Rebecca J Konen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386949337 PECOS PAC ID: 3870776289 Enrollment ID: I20151026000413 |
| Provider Name | Ashley A Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623337 PECOS PAC ID: 8628387065 Enrollment ID: I20151026000595 |
| Provider Name | Jonathan S Paton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366834392 PECOS PAC ID: 8325366982 Enrollment ID: I20151026000994 |
| Provider Name | Sarah Catherine Babst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154799781 PECOS PAC ID: 4688984891 Enrollment ID: I20151029003022 |
| Provider Name | Amy J Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578978623 PECOS PAC ID: 9335459486 Enrollment ID: I20151103000017 |
| Provider Name | Michael P Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063889871 PECOS PAC ID: 2860702719 Enrollment ID: I20151105001926 |
| Provider Name | Stephanie L Baas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649635418 PECOS PAC ID: 1951604388 Enrollment ID: I20160119002154 |
| Provider Name | Amy A Olmschenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912327297 PECOS PAC ID: 7416250600 Enrollment ID: I20160121001892 |
| Provider Name | Penny A Leen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958856 PECOS PAC ID: 0345470738 Enrollment ID: I20160128001570 |
| Provider Name | Michael C Tan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386935500 PECOS PAC ID: 3274793559 Enrollment ID: I20160202000871 |
| Provider Name | Nicole M Zenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881056679 PECOS PAC ID: 0345548012 Enrollment ID: I20160413000316 |
| Provider Name | Mark R Martens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194921973 PECOS PAC ID: 7315236833 Enrollment ID: I20160523000750 |
| Provider Name | Mammarie Kah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588019228 PECOS PAC ID: 3274823562 Enrollment ID: I20160526002514 |
| Provider Name | Benjamin Keith Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255627790 PECOS PAC ID: 6305145129 Enrollment ID: I20160601001033 |
| Provider Name | Logan A Newman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285070243 PECOS PAC ID: 3375849698 Enrollment ID: I20160621002100 |
| Provider Name | Winifred Sidibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114358520 PECOS PAC ID: 2466681085 Enrollment ID: I20160627001551 |
| Provider Name | Anil Kumar Changarath Vijayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649451873 PECOS PAC ID: 0749423622 Enrollment ID: I20160628001630 |
| Provider Name | Christopher B Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114201514 PECOS PAC ID: 7911145982 Enrollment ID: I20160715002167 |
| Provider Name | Moustapha Atoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538326327 PECOS PAC ID: 1658678560 Enrollment ID: I20160718000508 |
| Provider Name | Brian M Stegman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447425160 PECOS PAC ID: 9830314608 Enrollment ID: I20160721000888 |
| Provider Name | Joseph J Miskulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548557531 PECOS PAC ID: 5092024174 Enrollment ID: I20160728000301 |
| Provider Name | Steven J Solum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074126 PECOS PAC ID: 4486947439 Enrollment ID: I20160728000329 |
| Provider Name | Kevin Jenner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508151853 PECOS PAC ID: 2062705858 Enrollment ID: I20160802000310 |
| Provider Name | Katherine F Reigstad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386872539 PECOS PAC ID: 8527290261 Enrollment ID: I20160803002188 |
| Provider Name | Sara J Dezell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801244199 PECOS PAC ID: 2668767443 Enrollment ID: I20160817002827 |
| Provider Name | Tiffany Nicole Sande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255796918 PECOS PAC ID: 4789979733 Enrollment ID: I20160830000875 |
| Provider Name | Mithun R Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483702 PECOS PAC ID: 7315242856 Enrollment ID: I20160830002979 |
| Provider Name | Jonathon R Heger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497209688 PECOS PAC ID: 7416243431 Enrollment ID: I20160831000173 |
| Provider Name | Meghan Marie Scheibe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346549508 PECOS PAC ID: 9537455936 Enrollment ID: I20160912001348 |
| Provider Name | Naeem A Adhami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407081169 PECOS PAC ID: 7911059084 Enrollment ID: I20160912001598 |
| Provider Name | Patrick Wayne Odens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023846 PECOS PAC ID: 6608162706 Enrollment ID: I20160915000322 |
| Provider Name | Jennifer R Christensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922554096 PECOS PAC ID: 6709173453 Enrollment ID: I20160922002053 |
| Provider Name | Sean P Wherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407948458 PECOS PAC ID: 3779617394 Enrollment ID: I20160926001757 |
| Provider Name | Katrina N Wherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124297965 PECOS PAC ID: 2860524238 Enrollment ID: I20160927000899 |
| Provider Name | Zahra A Roble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506417 PECOS PAC ID: 0244527760 Enrollment ID: I20160928000188 |
| Provider Name | Jessica M Retterath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033663414 PECOS PAC ID: 8224326186 Enrollment ID: I20161007001193 |
| Provider Name | Joseph D Chabot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033421623 PECOS PAC ID: 7618196221 Enrollment ID: I20161013001845 |
| Provider Name | Christine D Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643915 PECOS PAC ID: 8123306420 Enrollment ID: I20161020000801 |
| Provider Name | Rebecca R Boesl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043661044 PECOS PAC ID: 3971881285 Enrollment ID: I20161020001084 |
| Provider Name | Mary F Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194279596 PECOS PAC ID: 2062790215 Enrollment ID: I20161024001322 |
| Provider Name | Jacob Allen Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336582048 PECOS PAC ID: 2264710318 Enrollment ID: I20161025002181 |
| Provider Name | Kelsey M Mcanally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548608235 PECOS PAC ID: 0244552305 Enrollment ID: I20161103001574 |
| Provider Name | Rebecca A Kastanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767072 PECOS PAC ID: 9931488103 Enrollment ID: I20161110000683 |
| Provider Name | Craig B Tangen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003264441 PECOS PAC ID: 7416236690 Enrollment ID: I20161110000984 |
| Provider Name | Mindy M Ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952608341 PECOS PAC ID: 2769761345 Enrollment ID: I20161123000394 |
| Provider Name | Stephanie A Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035881 PECOS PAC ID: 5799065223 Enrollment ID: I20161129001827 |
| Provider Name | Leslie J Mortland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093859654 PECOS PAC ID: 7810166147 Enrollment ID: I20161201000123 |
| Provider Name | Briana L Eriksson Kotschevar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429321 PECOS PAC ID: 3577843895 Enrollment ID: I20161202001141 |
| Provider Name | Angie L Paschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410612 PECOS PAC ID: 2466732789 Enrollment ID: I20161202001222 |
| Provider Name | Jessica E Hollenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761190 PECOS PAC ID: 3870873037 Enrollment ID: I20161205000635 |
| Provider Name | Daniel Falvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003194085 PECOS PAC ID: 3678798758 Enrollment ID: I20161207000024 |
| Provider Name | Kelly M Awes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429180 PECOS PAC ID: 4587944665 Enrollment ID: I20161207000455 |
| Provider Name | Kathryn A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770032773 PECOS PAC ID: 5193005783 Enrollment ID: I20161219001186 |
| Provider Name | Erin E Carlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914248 PECOS PAC ID: 6305127879 Enrollment ID: I20161222000242 |
| Provider Name | John P Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336681741 PECOS PAC ID: 0547541963 Enrollment ID: I20161227000081 |
| Provider Name | Noah T Helgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427439454 PECOS PAC ID: 1153603717 Enrollment ID: I20170117001159 |
| Provider Name | Nicole L Frie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881138709 PECOS PAC ID: 8729360144 Enrollment ID: I20170119002623 |
| Provider Name | Thomas V Tate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740633106 PECOS PAC ID: 4688956022 Enrollment ID: I20170120000340 |
| Provider Name | Jamie L Hammerbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175949 PECOS PAC ID: 5698073500 Enrollment ID: I20170123002918 |
| Provider Name | Kadir O Mullings |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639611288 PECOS PAC ID: 8325320468 Enrollment ID: I20170124003138 |
| Provider Name | David Heverly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649205170 PECOS PAC ID: 5496792152 Enrollment ID: I20170213001266 |
| Provider Name | Eyas Abla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407430 PECOS PAC ID: 5294037131 Enrollment ID: I20170316001243 |
| Provider Name | Mari A Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562970 PECOS PAC ID: 3971888637 Enrollment ID: I20170320000853 |
| Provider Name | Shauna H Mullings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487191664 PECOS PAC ID: 8022393511 Enrollment ID: I20170324000180 |
| Provider Name | Roxanne M Boser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134558109 PECOS PAC ID: 8820373178 Enrollment ID: I20170328002545 |
| Provider Name | Jessica J Barto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576598 PECOS PAC ID: 0941586697 Enrollment ID: I20170411001927 |
| Provider Name | Joseph Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407281124 PECOS PAC ID: 6507142080 Enrollment ID: I20170418001195 |
| Provider Name | Toni A Mahowald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619231388 PECOS PAC ID: 0042597957 Enrollment ID: I20170502002187 |
| Provider Name | Aimee L Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285167098 PECOS PAC ID: 4688951510 Enrollment ID: I20170502002809 |
| Provider Name | Mark D Raykowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265976518 PECOS PAC ID: 0941587489 Enrollment ID: I20170510000827 |
| Provider Name | Rachel M Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568869667 PECOS PAC ID: 6305113580 Enrollment ID: I20170518000025 |
| Provider Name | Nicole A Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427589530 PECOS PAC ID: 3678840436 Enrollment ID: I20170526000040 |
| Provider Name | Paige P Hennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603285 PECOS PAC ID: 1850668245 Enrollment ID: I20170607000634 |
| Provider Name | Megan Hodges |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831535863 PECOS PAC ID: 7416226550 Enrollment ID: I20170706000767 |
| Provider Name | Nathan W Fogarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073874079 PECOS PAC ID: 4183994635 Enrollment ID: I20170717002535 |
| Provider Name | Janelle M Terhaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758228 PECOS PAC ID: 4284905787 Enrollment ID: I20170802000009 |
| Provider Name | Jenine M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404928 PECOS PAC ID: 4880965383 Enrollment ID: I20170802000149 |
| Provider Name | Paul R Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720442205 PECOS PAC ID: 9931491990 Enrollment ID: I20170804000043 |
| Provider Name | Christopher R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447679188 PECOS PAC ID: 1951528652 Enrollment ID: I20170808002393 |
| Provider Name | Jessica J Newman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295078913 PECOS PAC ID: 5991000267 Enrollment ID: I20170809000736 |
| Provider Name | Jill A Massmann |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689194078 PECOS PAC ID: 6002187051 Enrollment ID: I20170809001565 |
| Provider Name | Julianne Elizabeth Fauske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932548005 PECOS PAC ID: 9234363458 Enrollment ID: I20170811002828 |
| Provider Name | Katherine E Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225340565 PECOS PAC ID: 6901181098 Enrollment ID: I20170816001254 |
| Provider Name | Erin N Hennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881037356 PECOS PAC ID: 6608149331 Enrollment ID: I20170831002155 |
| Provider Name | Jennifer Marie Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093237398 PECOS PAC ID: 7214200740 Enrollment ID: I20170906000618 |
| Provider Name | Douglas W Sticha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154860740 PECOS PAC ID: 5799058830 Enrollment ID: I20170912000663 |
| Provider Name | Danielle M Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033632062 PECOS PAC ID: 3779856729 Enrollment ID: I20170913002460 |
| Provider Name | Evan L Dyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437110 PECOS PAC ID: 8022382654 Enrollment ID: I20170921000115 |
| Provider Name | Samantha Jaimee Ganick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447420427 PECOS PAC ID: 2163695735 Enrollment ID: I20170921002773 |
| Provider Name | Elizabeth M Backhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283196 PECOS PAC ID: 1557635869 Enrollment ID: I20170926002377 |
| Provider Name | Sameer Y Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508124736 PECOS PAC ID: 8426359209 Enrollment ID: I20170929000709 |
| Provider Name | Erin L Weier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269288 PECOS PAC ID: 8527333582 Enrollment ID: I20171002003008 |
| Provider Name | Viral H Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902163868 PECOS PAC ID: 0042515900 Enrollment ID: I20171005000994 |
| Provider Name | Leah A Thronaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083976195 PECOS PAC ID: 9739474388 Enrollment ID: I20171116002580 |
| Provider Name | Maggie L Thronaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821384678 PECOS PAC ID: 0244460582 Enrollment ID: I20171201000971 |
| Provider Name | Uzma Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336554922 PECOS PAC ID: 7315204195 Enrollment ID: I20171204001066 |
| Provider Name | Ryan R Pelant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124543343 PECOS PAC ID: 9537427703 Enrollment ID: I20171215001062 |
| Provider Name | Ashley Janovsky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548614688 PECOS PAC ID: 2769740372 Enrollment ID: I20180102002449 |
| Provider Name | Eric J Schoenecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861914905 PECOS PAC ID: 7517226632 Enrollment ID: I20180118001419 |
| Provider Name | Holly K Boxell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821516782 PECOS PAC ID: 9234498296 Enrollment ID: I20180119000897 |
| Provider Name | Joan M Kotila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700399649 PECOS PAC ID: 2466712278 Enrollment ID: I20180215001511 |
| Provider Name | Stephanie Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720590524 PECOS PAC ID: 1951663350 Enrollment ID: I20180323000377 |
| Provider Name | Bailey A Dykema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717046 PECOS PAC ID: 2769744069 Enrollment ID: I20180327000473 |
| Provider Name | Angela L Deblieck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598287641 PECOS PAC ID: 1153683156 Enrollment ID: I20180402000457 |
| Provider Name | Charles J Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134642655 PECOS PAC ID: 2860754876 Enrollment ID: I20180402001068 |
| Provider Name | Kari A Baillif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073021184 PECOS PAC ID: 1456614296 Enrollment ID: I20180410000582 |
| Provider Name | Brittany Schultz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700320066 PECOS PAC ID: 9638453350 Enrollment ID: I20180412002987 |
| Provider Name | Elizabeth A Klocker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922501618 PECOS PAC ID: 7810250990 Enrollment ID: I20180425000217 |
| Provider Name | Yogesh A Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154646883 PECOS PAC ID: 9739305293 Enrollment ID: I20180509002467 |
| Provider Name | Rachel A Delaney Geier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730681248 PECOS PAC ID: 8426313388 Enrollment ID: I20180523001667 |
| Provider Name | Kristine A Hassebrock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104322106 PECOS PAC ID: 4880959568 Enrollment ID: I20180530001071 |
| Provider Name | Gati N Dhroove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982915492 PECOS PAC ID: 6406098052 Enrollment ID: I20180615002147 |
| Provider Name | Pavan K Bhamidipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548490840 PECOS PAC ID: 9931358256 Enrollment ID: I20180616000010 |
| Provider Name | Matthew E Emerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861888653 PECOS PAC ID: 4082927355 Enrollment ID: I20180619003502 |
| Provider Name | Daniel B Pickett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174866644 PECOS PAC ID: 9133475478 Enrollment ID: I20180628003150 |
| Provider Name | Michelle M Kiffmeyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366729162 PECOS PAC ID: 1658627807 Enrollment ID: I20180702002031 |
| Provider Name | Hardik Harish Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811193196 PECOS PAC ID: 1254509763 Enrollment ID: I20180702002272 |
| Provider Name | Eric Stephen Wise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518252857 PECOS PAC ID: 6507155207 Enrollment ID: I20180703002320 |
| Provider Name | Jyh-yau Tsaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053799460 PECOS PAC ID: 7416204912 Enrollment ID: I20180714000018 |
| Provider Name | Damon M Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518285816 PECOS PAC ID: 3375771744 Enrollment ID: I20180716000172 |
| Provider Name | Kelly A Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184124265 PECOS PAC ID: 4284981549 Enrollment ID: I20180718002820 |
| Provider Name | Sherri A Schmitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710424684 PECOS PAC ID: 0749537942 Enrollment ID: I20180719000028 |
| Provider Name | David R Perez-lauterbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124414644 PECOS PAC ID: 8224385422 Enrollment ID: I20180719000335 |
| Provider Name | Laura K Kallock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386196244 PECOS PAC ID: 0345597381 Enrollment ID: I20180720002122 |
| Provider Name | Tab D Klimstra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427596030 PECOS PAC ID: 1658628680 Enrollment ID: I20180723002686 |
| Provider Name | Lynn M Schoenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184113235 PECOS PAC ID: 7416204227 Enrollment ID: I20180725002442 |
| Provider Name | Mary P Gohmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932605441 PECOS PAC ID: 2961759642 Enrollment ID: I20180726001330 |
| Provider Name | Kristin E Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063152 PECOS PAC ID: 7810244423 Enrollment ID: I20180726002983 |
| Provider Name | Samantha J Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760855605 PECOS PAC ID: 7911255138 Enrollment ID: I20180804000070 |
| Provider Name | Jacob B Dubay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831514686 PECOS PAC ID: 2769758895 Enrollment ID: I20180806002971 |
| Provider Name | Ryan Michael Finn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898684 PECOS PAC ID: 7810269008 Enrollment ID: I20180806003180 |
| Provider Name | Erica J Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710425657 PECOS PAC ID: 4789932872 Enrollment ID: I20180807000024 |
| Provider Name | Anna L Leitch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790270148 PECOS PAC ID: 9931457033 Enrollment ID: I20180807000244 |
| Provider Name | April J Doten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205324175 PECOS PAC ID: 4082962196 Enrollment ID: I20180807000951 |
| Provider Name | Paul K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20180807002336 |
| Provider Name | Jenna R Sobota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265920102 PECOS PAC ID: 0749538775 Enrollment ID: I20180807002341 |
| Provider Name | Kevin W Okeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396283958 PECOS PAC ID: 4385992361 Enrollment ID: I20180808000181 |
| Provider Name | Kristen L Heckendorf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841738408 PECOS PAC ID: 0547518532 Enrollment ID: I20180808000615 |
| Provider Name | Steven J Sperl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366980690 PECOS PAC ID: 0446508360 Enrollment ID: I20180808002125 |
| Provider Name | John A Sipe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821594011 PECOS PAC ID: 4880942606 Enrollment ID: I20180809005006 |
| Provider Name | Nicole J Broman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780844035 PECOS PAC ID: 4385992106 Enrollment ID: I20180809005246 |
| Provider Name | Brittany D Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720432057 PECOS PAC ID: 0345521654 Enrollment ID: I20180810001816 |
| Provider Name | Clarence O Ojo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053650630 PECOS PAC ID: 3072747021 Enrollment ID: I20180810003100 |
| Provider Name | Linda Ziebarth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932647732 PECOS PAC ID: 9335497098 Enrollment ID: I20180813001892 |
| Provider Name | Shaunte P Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093207375 PECOS PAC ID: 9537418991 Enrollment ID: I20180817000295 |
| Provider Name | Sara J Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932283397 PECOS PAC ID: 2860741147 Enrollment ID: I20180820002489 |
| Provider Name | Ashley K Fogarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316484207 PECOS PAC ID: 5991054231 Enrollment ID: I20180821001102 |
| Provider Name | Cynthia E Jaffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699854778 PECOS PAC ID: 6507911369 Enrollment ID: I20180821002351 |
| Provider Name | Tracy E Arduser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407393390 PECOS PAC ID: 9830448000 Enrollment ID: I20180821002467 |
| Provider Name | Holly J Groetsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639522360 PECOS PAC ID: 1850687161 Enrollment ID: I20180822000015 |
| Provider Name | Hailey R Fuechtmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649758079 PECOS PAC ID: 4587913496 Enrollment ID: I20180824002033 |
| Provider Name | Jacqueline K Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285138719 PECOS PAC ID: 7618226457 Enrollment ID: I20180828000496 |
| Provider Name | Shaun Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548640436 PECOS PAC ID: 9133432610 Enrollment ID: I20180828000595 |
| Provider Name | Brenda R Konietzko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437678257 PECOS PAC ID: 0244589000 Enrollment ID: I20180828001565 |
| Provider Name | Patricia A Gramke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750821211 PECOS PAC ID: 0941550784 Enrollment ID: I20180829000988 |
| Provider Name | Michelle G Lage |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720584089 PECOS PAC ID: 4880944198 Enrollment ID: I20180907001354 |
| Provider Name | Oilufunke O Ajayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093195489 PECOS PAC ID: 4587962485 Enrollment ID: I20180910001993 |
| Provider Name | Kimberly J Van Vooren |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932696366 PECOS PAC ID: 4284982380 Enrollment ID: I20180911003481 |
| Provider Name | Dana J Wieme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235676081 PECOS PAC ID: 3476804329 Enrollment ID: I20180917001250 |
| Provider Name | Ashley S Eisenschenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033695101 PECOS PAC ID: 5698026441 Enrollment ID: I20180918003564 |
| Provider Name | Ryan O Mareck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508344391 PECOS PAC ID: 8921359613 Enrollment ID: I20180919001619 |
| Provider Name | Michelle K Nagengast |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861980336 PECOS PAC ID: 9032460415 Enrollment ID: I20180925000031 |
| Provider Name | Kayla A Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649758145 PECOS PAC ID: 1153673975 Enrollment ID: I20181005001843 |
| Provider Name | Maisee K Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639551229 PECOS PAC ID: 5890091102 Enrollment ID: I20181009000273 |
| Provider Name | Esayas A Okubamichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477933356 PECOS PAC ID: 2062710957 Enrollment ID: I20181009000542 |
| Provider Name | Coryann Debronsky Kleinhaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154802452 PECOS PAC ID: 5799037016 Enrollment ID: I20181015000399 |
| Provider Name | Gabriel A Fierro-fine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700223146 PECOS PAC ID: 2365711660 Enrollment ID: I20181016000723 |
| Provider Name | Kristine A Lawrence |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790225787 PECOS PAC ID: 0840543872 Enrollment ID: I20181022001338 |
| Provider Name | Lisa Marie Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609353655 PECOS PAC ID: 6800149659 Enrollment ID: I20181025001373 |
| Provider Name | Brandon M Philippi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548743446 PECOS PAC ID: 9739432410 Enrollment ID: I20181025002608 |
| Provider Name | Kelsey A Diederich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477092971 PECOS PAC ID: 8729331335 Enrollment ID: I20181030000072 |
| Provider Name | Onikepo Omotoso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578042826 PECOS PAC ID: 6709139173 Enrollment ID: I20181101000862 |
| Provider Name | Mirian Ezikeoha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790221885 PECOS PAC ID: 1951654128 Enrollment ID: I20181106000252 |
| Provider Name | Susan M Opgrand-cromwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205377991 PECOS PAC ID: 9830443878 Enrollment ID: I20181112000213 |
| Provider Name | Sarah Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785199 PECOS PAC ID: 2668726456 Enrollment ID: I20181114001061 |
| Provider Name | Stephanie A Born |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962971242 PECOS PAC ID: 7517202377 Enrollment ID: I20181224000082 |
| Provider Name | Kellee M Rucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528535390 PECOS PAC ID: 6901142496 Enrollment ID: I20190103001795 |
| Provider Name | Kayla K Zylla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679732358 PECOS PAC ID: 6709124605 Enrollment ID: I20190220000120 |
| Provider Name | Augustine U Obi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093719528 PECOS PAC ID: 4880606672 Enrollment ID: I20190225002413 |
| Provider Name | Nayera Rafik Attalla Guirguis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023334752 PECOS PAC ID: 2466761606 Enrollment ID: I20190228002168 |
| Provider Name | Mir H Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841454634 PECOS PAC ID: 3476692245 Enrollment ID: I20190305001848 |
| Provider Name | Amanda M Flint |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164994026 PECOS PAC ID: 2961741145 Enrollment ID: I20190306000596 |
| Provider Name | James R Tarcon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447724406 PECOS PAC ID: 4981943073 Enrollment ID: I20190307002043 |
| Provider Name | Ingrid Y Cresencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972067205 PECOS PAC ID: 1355682279 Enrollment ID: I20190402002744 |
| Provider Name | Alan Hoeper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821553520 PECOS PAC ID: 4587905427 Enrollment ID: I20190403000422 |
| Provider Name | Nathan D Wenker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205392743 PECOS PAC ID: 5193066595 Enrollment ID: I20190412000495 |
| Provider Name | Elizabeth K Rende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003979881 PECOS PAC ID: 7416905666 Enrollment ID: I20190415000049 |
| Provider Name | Patricia J Blonigen-heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707049 PECOS PAC ID: 3971845371 Enrollment ID: I20190506001173 |
| Provider Name | Nathan C Messbarger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205280047 PECOS PAC ID: 2365785607 Enrollment ID: I20190530000103 |
| Provider Name | Adewale O Odofin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972955375 PECOS PAC ID: 3375876899 Enrollment ID: I20190614000699 |
| Provider Name | Haleigh N Storkel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144748765 PECOS PAC ID: 8628344298 Enrollment ID: I20190619002661 |
| Provider Name | Jessica L Najarian Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255713632 PECOS PAC ID: 9537416094 Enrollment ID: I20190619002857 |
| Provider Name | Carrilyn J Bechtold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316500648 PECOS PAC ID: 5092049668 Enrollment ID: I20190702000994 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902805518 PECOS PAC ID: 2668453564 Enrollment ID: I20190709002811 |
| Provider Name | Karen A Reisdorf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396302741 PECOS PAC ID: 2860727054 Enrollment ID: I20190710002221 |
| Provider Name | Bryce D Mieczkowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235518903 PECOS PAC ID: 5092021618 Enrollment ID: I20190711001504 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Julie J Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124438783 PECOS PAC ID: 8022314335 Enrollment ID: I20190724000899 |
| Provider Name | Nicholas B Zaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366701690 PECOS PAC ID: 0941440028 Enrollment ID: I20190731000693 |
| Provider Name | Nicole J Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013336106 PECOS PAC ID: 0143525303 Enrollment ID: I20190731001185 |
| Provider Name | Yu C Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568850816 PECOS PAC ID: 6002123817 Enrollment ID: I20190731001855 |
| Provider Name | Dennison W Gillen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982068920 PECOS PAC ID: 6608113196 Enrollment ID: I20190812002520 |
| Provider Name | Haley A Kedrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669033429 PECOS PAC ID: 3274860184 Enrollment ID: I20190814002827 |
| Provider Name | Fatima Sharifmohamed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285011635 PECOS PAC ID: 0547599193 Enrollment ID: I20190909000733 |
| Provider Name | Carey B Herzog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734773 PECOS PAC ID: 9032449780 Enrollment ID: I20190924001682 |
| Provider Name | Frances A Tepolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407290604 PECOS PAC ID: 7719234251 Enrollment ID: I20190926000871 |
| Provider Name | Kelly C Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750736252 PECOS PAC ID: 4385931849 Enrollment ID: I20190927001035 |
| Provider Name | Sakshi Kaul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184044067 PECOS PAC ID: 6305141169 Enrollment ID: I20191002000804 |
| Provider Name | Trenton J Smolik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477903573 PECOS PAC ID: 6204128176 Enrollment ID: I20191016001518 |
| Provider Name | Michael D Forster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366823692 PECOS PAC ID: 5890099329 Enrollment ID: I20191023001859 |
| Provider Name | Faisa Hassan Abdi-omar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467006700 PECOS PAC ID: 7911339866 Enrollment ID: I20191114000197 |
| Provider Name | Jordan E Lajoie-zoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639713290 PECOS PAC ID: 9032542014 Enrollment ID: I20191205000372 |
| Provider Name | Elizabeth L Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942007 PECOS PAC ID: 0143653840 Enrollment ID: I20191211001428 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20191211002088 |
| Provider Name | Luis A Servin-abad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760640130 PECOS PAC ID: 3971736646 Enrollment ID: I20191221000445 |
| Provider Name | Amanda L Braun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083256135 PECOS PAC ID: 9032544325 Enrollment ID: I20200114003249 |
| Provider Name | Elizabeth A Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225677057 PECOS PAC ID: 3779919535 Enrollment ID: I20200214001148 |
| Provider Name | Laura A Karnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881237840 PECOS PAC ID: 0042647760 Enrollment ID: I20200219000480 |
| Provider Name | Karen Naimoli Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396830683 PECOS PAC ID: 6507293180 Enrollment ID: I20200220000156 |
| Provider Name | Olivia T Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659538163 PECOS PAC ID: 0143442962 Enrollment ID: I20200226000470 |
| Provider Name | Jamie R Pohlmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275163388 PECOS PAC ID: 2860829801 Enrollment ID: I20200303002401 |
| Provider Name | Vera G Lwanga-zaman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184267445 PECOS PAC ID: 0749618510 Enrollment ID: I20200311000128 |
| Provider Name | Callie M Silvers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962035121 PECOS PAC ID: 2860820198 Enrollment ID: I20200319000679 |
| Provider Name | Kristin M Pomplun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104467935 PECOS PAC ID: 2769811470 Enrollment ID: I20200401000514 |
| Provider Name | Mallory J Kantos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952938268 PECOS PAC ID: 5294165916 Enrollment ID: I20200421001963 |
| Provider Name | Sarah R Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143624 PECOS PAC ID: 4880024462 Enrollment ID: I20200422002041 |
| Provider Name | Nudrat Tasneem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861807786 PECOS PAC ID: 4880811074 Enrollment ID: I20200521001994 |
| Provider Name | Wade E Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447645916 PECOS PAC ID: 1355656984 Enrollment ID: I20200526000075 |
| Provider Name | Jaclyn N Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356760987 PECOS PAC ID: 4981993409 Enrollment ID: I20200601000527 |
| Provider Name | Gilbert Cadena |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760649255 PECOS PAC ID: 0749418184 Enrollment ID: I20200602000315 |
| Provider Name | Sade M Finn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578099545 PECOS PAC ID: 5799057899 Enrollment ID: I20200609001866 |
| Provider Name | Alexander R Omann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700415114 PECOS PAC ID: 6507288123 Enrollment ID: I20200626000857 |
| Provider Name | Jenna L Dolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073082681 PECOS PAC ID: 8527480169 Enrollment ID: I20200626001796 |
| Provider Name | Justin P Stocks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811124837 PECOS PAC ID: 0547446361 Enrollment ID: I20200707001585 |
| Provider Name | Fatimah Adebukola Oloriegbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760672554 PECOS PAC ID: 5698943744 Enrollment ID: I20200731000849 |
| Provider Name | Karl Koivisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962931451 PECOS PAC ID: 5496023459 Enrollment ID: I20200806001118 |
| Provider Name | Brenda K Bridges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710938816 PECOS PAC ID: 6800856410 Enrollment ID: I20200820002172 |
| Provider Name | Daniel J O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093248536 PECOS PAC ID: 7517237357 Enrollment ID: I20200826003563 |
| Provider Name | Heenam Goel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396128526 PECOS PAC ID: 6204141047 Enrollment ID: I20200902001001 |
| Provider Name | Nicole L Stommes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407047640 PECOS PAC ID: 7012336845 Enrollment ID: I20200929001021 |
| Provider Name | Bernadette T Warnert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407499023 PECOS PAC ID: 0345669586 Enrollment ID: I20201007002110 |
| Provider Name | Matthew P Eggebrecht |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073962395 PECOS PAC ID: 3577808328 Enrollment ID: I20201007002298 |
| Provider Name | Jill Wilcken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456256 PECOS PAC ID: 4082034004 Enrollment ID: I20201013002546 |
| Provider Name | Khalid M Sonbol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750796629 PECOS PAC ID: 3476778242 Enrollment ID: I20201020002594 |
| Provider Name | Jaren S Lukach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164040804 PECOS PAC ID: 9830519412 Enrollment ID: I20201020003416 |
| Provider Name | Morgan N Matter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629681119 PECOS PAC ID: 2264852698 Enrollment ID: I20201023000050 |
| Provider Name | Mahad A Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184144057 PECOS PAC ID: 2163832239 Enrollment ID: I20201030000037 |
| Provider Name | Traci J Salveson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407467749 PECOS PAC ID: 2466862180 Enrollment ID: I20201109003260 |
| Provider Name | Delinda Wills |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063531804 PECOS PAC ID: 4880848118 Enrollment ID: I20201111001343 |
| Provider Name | Andrew Mattila |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265033815 PECOS PAC ID: 0143631424 Enrollment ID: I20201117001184 |
| Provider Name | Cameron C Hendrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487264164 PECOS PAC ID: 0648681882 Enrollment ID: I20201119002300 |
| Provider Name | Taylor D Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508477845 PECOS PAC ID: 7618388737 Enrollment ID: I20201122000025 |
| Provider Name | Crystal L Fleischhacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356956601 PECOS PAC ID: 5698187185 Enrollment ID: I20201207000657 |
| Provider Name | Jessica R Neeser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346853504 PECOS PAC ID: 6204248826 Enrollment ID: I20201223001083 |
| Provider Name | Cassandra L Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435773 PECOS PAC ID: 0840603478 Enrollment ID: I20201228002235 |
| Provider Name | Siri L Konz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090468 PECOS PAC ID: 4385057306 Enrollment ID: I20210113000839 |
| Provider Name | Kelsey R Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174119432 PECOS PAC ID: 6709290265 Enrollment ID: I20210126000063 |
| Provider Name | Kelli J Jensch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134611049 PECOS PAC ID: 1355755323 Enrollment ID: I20210203000142 |
| Provider Name | Jaycob M Nietfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417544479 PECOS PAC ID: 6800200601 Enrollment ID: I20210205000004 |
| Provider Name | Sarah M Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667035 PECOS PAC ID: 7315352861 Enrollment ID: I20210216002132 |
| Provider Name | Richard E Belmont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013919968 PECOS PAC ID: 8921182379 Enrollment ID: I20210311002633 |
| Provider Name | Douglas N Mellinger |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124131073 PECOS PAC ID: 7911943865 Enrollment ID: I20210323000879 |
| Provider Name | Eric Dean Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922054097 PECOS PAC ID: 2961427125 Enrollment ID: I20210325001963 |
| Provider Name | Miranda L Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073190245 PECOS PAC ID: 4486061678 Enrollment ID: I20210406002004 |
| Provider Name | Amanda J Dircks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326657255 PECOS PAC ID: 7618385634 Enrollment ID: I20210412002391 |
| Provider Name | Summer H Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619205424 PECOS PAC ID: 2961810809 Enrollment ID: I20210414001696 |
| Provider Name | Brady W Reese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306109673 PECOS PAC ID: 6507198223 Enrollment ID: I20210513000375 |
| Provider Name | Phillip W Plager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992294722 PECOS PAC ID: 9032457635 Enrollment ID: I20210519000286 |
| Provider Name | Jason M Block |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093177131 PECOS PAC ID: 2163718768 Enrollment ID: I20210604001524 |
| Provider Name | Benjamin P Morey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629430012 PECOS PAC ID: 6709173610 Enrollment ID: I20210623001353 |
| Provider Name | Fernando Aguirre Amezquita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457766727 PECOS PAC ID: 9133425358 Enrollment ID: I20210629002485 |
| Provider Name | Hannah R Motschke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508431065 PECOS PAC ID: 8921400383 Enrollment ID: I20210708001540 |
| Provider Name | Cari D Natvig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760974760 PECOS PAC ID: 2365799434 Enrollment ID: I20210708002115 |
| Provider Name | Stephen K Kidd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477816304 PECOS PAC ID: 6901024777 Enrollment ID: I20210708002787 |
| Provider Name | Elizabeth A Bevier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982191250 PECOS PAC ID: 9032511787 Enrollment ID: I20210716002372 |
| Provider Name | Eric D Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869766 PECOS PAC ID: 9830446517 Enrollment ID: I20210720000331 |
| Provider Name | Nicole J Carbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578138020 PECOS PAC ID: 9234532904 Enrollment ID: I20210720000433 |
| Provider Name | Lindsay Marie Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477849222 PECOS PAC ID: 4789972720 Enrollment ID: I20210729000467 |
| Provider Name | Rachel M Elfmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184244220 PECOS PAC ID: 8527461342 Enrollment ID: I20210730000583 |
| Provider Name | Sara M Maciej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881262269 PECOS PAC ID: 9335543487 Enrollment ID: I20210811001922 |
| Provider Name | Kimberly C Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689165987 PECOS PAC ID: 5799189783 Enrollment ID: I20210812003684 |
| Provider Name | Oluwatobi O Falade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447813431 PECOS PAC ID: 6800121971 Enrollment ID: I20210813001330 |
| Provider Name | Gamaliel Jesse Ferrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460734 PECOS PAC ID: 1759616865 Enrollment ID: I20210813003033 |
| Provider Name | Robert H Krieger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912367103 PECOS PAC ID: 0143625749 Enrollment ID: I20210819002716 |
| Provider Name | Kelly Marie Kerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871904292 PECOS PAC ID: 4789956475 Enrollment ID: I20210819002896 |
| Provider Name | Bridget Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457024168 PECOS PAC ID: 3173928637 Enrollment ID: I20210820001552 |
| Provider Name | David B Bushey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760918809 PECOS PAC ID: 1254601172 Enrollment ID: I20210820002440 |
| Provider Name | Brianna L Thomalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539057 PECOS PAC ID: 6002211265 Enrollment ID: I20210826000009 |
| Provider Name | Elizabeth A Baillargeon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295269231 PECOS PAC ID: 5597018101 Enrollment ID: I20210826000127 |
| Provider Name | Chukwunonso U Chime |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619318771 PECOS PAC ID: 9133559164 Enrollment ID: I20210827000237 |
| Provider Name | Brittney J Huisinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792874 PECOS PAC ID: 8820495799 Enrollment ID: I20210920001302 |
| Provider Name | Frank Brancaccio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918234 PECOS PAC ID: 4082745534 Enrollment ID: I20210920002837 |
| Provider Name | Elizabeth A Tacl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093194706 PECOS PAC ID: 7618289554 Enrollment ID: I20210923003000 |
| Provider Name | Rex Yung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750327128 PECOS PAC ID: 0446380992 Enrollment ID: I20210924000878 |
| Provider Name | Janelle Marie Thoreson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906395 PECOS PAC ID: 4981001518 Enrollment ID: I20210924001580 |
| Provider Name | Abigael M Luke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720483373 PECOS PAC ID: 2961717210 Enrollment ID: I20210928002949 |
| Provider Name | Rami Sadek Awad Abdel Aziz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497252365 PECOS PAC ID: 8022355957 Enrollment ID: I20210930002642 |
| Provider Name | Angela M Adamek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881368256 PECOS PAC ID: 6103224258 Enrollment ID: I20211005000609 |
| Provider Name | Mitchell O Tollefson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184393381 PECOS PAC ID: 0143628776 Enrollment ID: I20211012000593 |
| Provider Name | Bethany J Wendlandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134898422 PECOS PAC ID: 4183022742 Enrollment ID: I20211012001787 |
| Provider Name | Jill C Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316617608 PECOS PAC ID: 6305244708 Enrollment ID: I20211015002029 |
| Provider Name | Elizabeth M Ongera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215478433 PECOS PAC ID: 6507264868 Enrollment ID: I20211018002045 |
| Provider Name | Lindsey M Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013686955 PECOS PAC ID: 9830587047 Enrollment ID: I20211020002024 |
| Provider Name | Chelsea M Steffens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366113136 PECOS PAC ID: 8224426440 Enrollment ID: I20211020002844 |
| Provider Name | Michael P Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750953709 PECOS PAC ID: 0749678274 Enrollment ID: I20211102001764 |
| Provider Name | Jennifer K Lund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023780335 PECOS PAC ID: 1153710306 Enrollment ID: I20211110000882 |
| Provider Name | Ebrima Touray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356005441 PECOS PAC ID: 5799174868 Enrollment ID: I20211110002292 |
| Provider Name | Amber L Lieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891467650 PECOS PAC ID: 2365831443 Enrollment ID: I20211110002542 |
| Provider Name | Emma F Jarocki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982272696 PECOS PAC ID: 7911396007 Enrollment ID: I20211110002968 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20211118001209 |
| Provider Name | Sarah H Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217339 PECOS PAC ID: 4082004403 Enrollment ID: I20211129001702 |
| Provider Name | Mary Elizabeth Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439241 PECOS PAC ID: 5890185243 Enrollment ID: I20211130000261 |
| Provider Name | Anna E Boeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396409611 PECOS PAC ID: 3274923032 Enrollment ID: I20211209001794 |
| Provider Name | Pradeep Ramachandran |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528086295 PECOS PAC ID: 7113987264 Enrollment ID: I20220106002324 |
| Provider Name | Annie J Weir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558026757 PECOS PAC ID: 5890187371 Enrollment ID: I20220112001965 |
| Provider Name | Cassondra Opatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467021147 PECOS PAC ID: 0941693436 Enrollment ID: I20220204001251 |
| Provider Name | Craig Keathley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194799171 PECOS PAC ID: 6103895230 Enrollment ID: I20220305000153 |
| Provider Name | Ashley A Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053079350 PECOS PAC ID: 7810381845 Enrollment ID: I20220308001151 |
| Provider Name | Paul D Faybusovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497109219 PECOS PAC ID: 8820325491 Enrollment ID: I20220310001496 |
| Provider Name | Ramakanth Pata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215481593 PECOS PAC ID: 3072867605 Enrollment ID: I20220322002985 |
| Provider Name | Alireza Nathani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932593175 PECOS PAC ID: 8628320009 Enrollment ID: I20220331002701 |
| Provider Name | Gretchen R Moos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306592399 PECOS PAC ID: 7618363409 Enrollment ID: I20220404001482 |
| Provider Name | Kimberly D Bursch-tewalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447857669 PECOS PAC ID: 3870989684 Enrollment ID: I20220404002481 |
| Provider Name | Sarah A Eid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124774609 PECOS PAC ID: 3779979224 Enrollment ID: I20220408001473 |
| Provider Name | Brittany P Lampher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336897909 PECOS PAC ID: 4880080340 Enrollment ID: I20220408001886 |
| Provider Name | Alicia C Bame-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609528413 PECOS PAC ID: 5799172904 Enrollment ID: I20220418001397 |
| Provider Name | Taylor L Ricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184371437 PECOS PAC ID: 1254728488 Enrollment ID: I20220418002152 |
| Provider Name | Justin G Hammar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427437102 PECOS PAC ID: 9335453653 Enrollment ID: I20220504000946 |
| Provider Name | Najib Nassani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477935807 PECOS PAC ID: 3779831292 Enrollment ID: I20220510002349 |
| Provider Name | Bashir S Moallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144840463 PECOS PAC ID: 6608299821 Enrollment ID: I20220510002368 |
| Provider Name | Jessica M Vanderhagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871501734 PECOS PAC ID: 1254335680 Enrollment ID: I20220601002767 |
| Provider Name | Lashonda Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255541561 PECOS PAC ID: 6103999198 Enrollment ID: I20220603001276 |
| Provider Name | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Kristen M Carriveau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457092140 PECOS PAC ID: 7315327640 Enrollment ID: I20220705001829 |
| Provider Name | Jessica M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699416974 PECOS PAC ID: 0648651067 Enrollment ID: I20220718000595 |
| Provider Name | Heba H E Afeefy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295017044 PECOS PAC ID: 2264780782 Enrollment ID: I20220718001059 |
| Provider Name | Seth D Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193957 PECOS PAC ID: 4486076973 Enrollment ID: I20220718001182 |
| Provider Name | Mounika Muttineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659934651 PECOS PAC ID: 3678809647 Enrollment ID: I20220726001748 |
| Provider Name | Este G Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659934370 PECOS PAC ID: 2365825791 Enrollment ID: I20220818001030 |
| Provider Name | Abdikafar M Yusuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366935363 PECOS PAC ID: 4385067503 Enrollment ID: I20220818002946 |
| Provider Name | Leah A Arntson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799277 PECOS PAC ID: 6305229618 Enrollment ID: I20220819000829 |
| Provider Name | Jolene J Breth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598498115 PECOS PAC ID: 6507249828 Enrollment ID: I20220819001069 |
| Provider Name | Kyle E Rudningen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194248013 PECOS PAC ID: 8628326592 Enrollment ID: I20220819002264 |
| Provider Name | Wesley J Halseth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891227971 PECOS PAC ID: 3678844867 Enrollment ID: I20220921002720 |
| Provider Name | Rachel D Woehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821726639 PECOS PAC ID: 1456737360 Enrollment ID: I20220929003189 |
| Provider Name | Miranda L Boehm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235869942 PECOS PAC ID: 2466838222 Enrollment ID: I20220930002005 |
| Provider Name | Aric A Wogsland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649664822 PECOS PAC ID: 8729464482 Enrollment ID: I20221003002920 |
| Provider Name | Mariah Nicole Sisson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548752496 PECOS PAC ID: 4789931932 Enrollment ID: I20221010001870 |
| Provider Name | Rebecca J Lehmkuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609595107 PECOS PAC ID: 6204212541 Enrollment ID: I20221010002685 |
| Provider Name | Rebecca S Taffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773292 PECOS PAC ID: 5193191450 Enrollment ID: I20221012001536 |
| Provider Name | Janine A Rudnitski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619600426 PECOS PAC ID: 0143696344 Enrollment ID: I20221012003595 |
| Provider Name | Matthew A Molenaar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053871194 PECOS PAC ID: 3779913280 Enrollment ID: I20221021000202 |
| Provider Name | Nasim Parsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275943631 PECOS PAC ID: 9436573656 Enrollment ID: I20221021000727 |
| Provider Name | Heidi G Braun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023660818 PECOS PAC ID: 6103253265 Enrollment ID: I20221021002652 |
| Provider Name | Michael E. Siergiej |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962123331 PECOS PAC ID: 8224405626 Enrollment ID: I20221027001105 |
| Provider Name | Kita Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820912 PECOS PAC ID: 5294981841 Enrollment ID: I20221028002640 |
| Provider Name | Kalie M Bisel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043840036 PECOS PAC ID: 1557738697 Enrollment ID: I20221103000065 |
| Provider Name | Emily A Jelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659092849 PECOS PAC ID: 5092182956 Enrollment ID: I20221104002368 |
| Provider Name | Joann M Shangrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154249 PECOS PAC ID: 6507233129 Enrollment ID: I20221110000543 |
| Provider Name | Iqra S Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316396476 PECOS PAC ID: 5597173914 Enrollment ID: I20221114001526 |
| Provider Name | Diana F Niblack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275255721 PECOS PAC ID: 7315314887 Enrollment ID: I20221115000085 |
| Provider Name | Kristen A Williamson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104547793 PECOS PAC ID: 8426427782 Enrollment ID: I20221207002923 |
| Provider Name | Jordana Caruso |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184348039 PECOS PAC ID: 3375912678 Enrollment ID: I20221208001083 |
| Provider Name | Melissa Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982320644 PECOS PAC ID: 4284003435 Enrollment ID: I20221209000405 |
| Provider Name | Nicholas Allen Cook-rostie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386225720 PECOS PAC ID: 5193128825 Enrollment ID: I20221213001294 |
| Provider Name | Borislav Mravkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376680660 PECOS PAC ID: 4385711316 Enrollment ID: I20230112002839 |
| Provider Name | Nathan Jeffrey King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023728623 PECOS PAC ID: 1759752587 Enrollment ID: I20230113001415 |
| Provider Name | Savanna Rose Goelz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275246498 PECOS PAC ID: 8224409693 Enrollment ID: I20230123000319 |
| Provider Name | Jayson Vincent Singson Lingan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326364902 PECOS PAC ID: 5395037097 Enrollment ID: I20230123001057 |
| Provider Name | Jennifer Tarpenning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093336299 PECOS PAC ID: 2466875927 Enrollment ID: I20230123002506 |
| Provider Name | Casey Rae Klimpel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306550074 PECOS PAC ID: 4183095136 Enrollment ID: I20230130001840 |
| Provider Name | Jared A Johnstun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487944096 PECOS PAC ID: 7113165655 Enrollment ID: I20230207001042 |
| Provider Name | Harkiran Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746103 PECOS PAC ID: 3678843349 Enrollment ID: I20230307001831 |
| Provider Name | Beth Ellen Parries |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538867270 PECOS PAC ID: 1759754898 Enrollment ID: I20230310000629 |
| Provider Name | Mikaela Cheyenne Willhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154020246 PECOS PAC ID: 0446624506 Enrollment ID: I20230314000135 |
| Provider Name | Heidi Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609574706 PECOS PAC ID: 7012381189 Enrollment ID: I20230314000407 |
| Provider Name | Ami J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740455138 PECOS PAC ID: 2567836521 Enrollment ID: I20230315002281 |
| Provider Name | Katharine Hannah Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760994644 PECOS PAC ID: 8820358070 Enrollment ID: I20230330002221 |
| Provider Name | Leif Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235711052 PECOS PAC ID: 6901209659 Enrollment ID: I20230406001057 |
| Provider Name | Danielle Marie Sievek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487365045 PECOS PAC ID: 1658746565 Enrollment ID: I20230406001691 |
| Provider Name | Sarah Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760845705 PECOS PAC ID: 0941535199 Enrollment ID: I20230407000756 |
| Provider Name | Joy Odonnell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811696040 PECOS PAC ID: 7012966682 Enrollment ID: I20230417002035 |
| Provider Name | Dustin P Heck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164126637 PECOS PAC ID: 7315302627 Enrollment ID: I20230420000425 |
| Provider Name | Galina Simkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487655833 PECOS PAC ID: 6002866209 Enrollment ID: I20230421002620 |
| Provider Name | Ivy May Debruycker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265136360 PECOS PAC ID: 9335504570 Enrollment ID: I20230424000835 |
| Provider Name | Megan A Krotzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831770288 PECOS PAC ID: 5597169649 Enrollment ID: I20230426002299 |
| Provider Name | Cole Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346941994 PECOS PAC ID: 7618332396 Enrollment ID: I20230502002554 |
| Provider Name | Michael J.m. Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538857503 PECOS PAC ID: 1557727757 Enrollment ID: I20230512001999 |
| Provider Name | Nicholas Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558704338 PECOS PAC ID: 0840596169 Enrollment ID: I20230512002500 |
| Provider Name | Robert Imel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154850592 PECOS PAC ID: 2062764848 Enrollment ID: I20230527000198 |
| Provider Name | Cindy L Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144930512 PECOS PAC ID: 7315317815 Enrollment ID: I20230607002367 |
| Provider Name | Hugh Adams |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356637482 PECOS PAC ID: 9234450156 Enrollment ID: I20230613002438 |
| Provider Name | Jeanne Jiyoung Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174827984 PECOS PAC ID: 6507224516 Enrollment ID: I20230623001487 |
| Provider Name | Haylee Elvendahl-rumley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083272520 PECOS PAC ID: 6800120478 Enrollment ID: I20230623002598 |
| Provider Name | Rose Erickson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154005130 PECOS PAC ID: 4284093790 Enrollment ID: I20230630001929 |
| Provider Name | Sydni Imel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689034027 PECOS PAC ID: 3870977267 Enrollment ID: I20230707001671 |
| Provider Name | Jordan Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639527856 PECOS PAC ID: 2466745831 Enrollment ID: I20230711000640 |
| Provider Name | Anna Jordan Belschner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588358022 PECOS PAC ID: 5799144523 Enrollment ID: I20230711002378 |
| Provider Name | Matthew Heiling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497449938 PECOS PAC ID: 9133588973 Enrollment ID: I20230711002835 |
| Provider Name | Carolyn Rae Radermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972295194 PECOS PAC ID: 0648639492 Enrollment ID: I20230711002993 |
| Provider Name | Thomas Walter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225665904 PECOS PAC ID: 4789044249 Enrollment ID: I20230714002624 |
| Provider Name | Samantha Jo Handley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609568419 PECOS PAC ID: 8628438041 Enrollment ID: I20230718000400 |
| Provider Name | Austin Grant Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699451740 PECOS PAC ID: 0446610653 Enrollment ID: I20230720000212 |
| Provider Name | Christopher S Cadman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639104615 PECOS PAC ID: 4082678826 Enrollment ID: I20230728001732 |
| Provider Name | Anne Gucinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174207484 PECOS PAC ID: 0042671695 Enrollment ID: I20230731001487 |
| Provider Name | Svetlana Adusheva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346860632 PECOS PAC ID: 9537582028 Enrollment ID: I20230801001959 |
| Provider Name | Thaer Hasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386335651 PECOS PAC ID: 1355702549 Enrollment ID: I20230803004293 |
| Provider Name | Shelbie Kapsner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849450 PECOS PAC ID: 6901267012 Enrollment ID: I20230804000950 |
| Provider Name | Palistha Amatya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528649837 PECOS PAC ID: 0941602742 Enrollment ID: I20230804001319 |
| Provider Name | Payton Kuklok |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558059261 PECOS PAC ID: 5294196325 Enrollment ID: I20230804001852 |
| Provider Name | Juliette E Power |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102806 PECOS PAC ID: 2860780467 Enrollment ID: I20230804002654 |
| Provider Name | Holly N Frischmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932890399 PECOS PAC ID: 5496117939 Enrollment ID: I20230815001950 |
| Provider Name | James Drinane |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508271099 PECOS PAC ID: 3870718836 Enrollment ID: I20230901003611 |
| Provider Name | Christine A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558144501 PECOS PAC ID: 5799148037 Enrollment ID: I20230904000075 |
| Provider Name | Erin Titus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003593237 PECOS PAC ID: 6204280316 Enrollment ID: I20230922002790 |
| Provider Name | Christopher Odens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386321651 PECOS PAC ID: 6800240839 Enrollment ID: I20230926000643 |
| Provider Name | Sadio Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043832132 PECOS PAC ID: 9739502949 Enrollment ID: I20230928001466 |
| Provider Name | Mohamad Hani Lababidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295081412 PECOS PAC ID: 7810270485 Enrollment ID: I20230929003253 |
| Provider Name | Subbumeenakshi Alagappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124688759 PECOS PAC ID: 0042542805 Enrollment ID: I20231002003640 |
| Provider Name | Tashi Lhamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316724156 PECOS PAC ID: 3678927167 Enrollment ID: I20231003000906 |
| Provider Name | Nataliia Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063862746 PECOS PAC ID: 0547508087 Enrollment ID: I20231009003283 |
| Provider Name | Carlos Cuello |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528016391 PECOS PAC ID: 0345252243 Enrollment ID: I20231016001997 |
| Provider Name | Mark W Kovach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336128222 PECOS PAC ID: 1850293366 Enrollment ID: I20231017001220 |
| Provider Name | Olalekan Akanbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881096030 PECOS PAC ID: 9830498807 Enrollment ID: I20231025001061 |
| Provider Name | Elizabeth A Stocker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386324762 PECOS PAC ID: 6204282957 Enrollment ID: I20231101000278 |
| Provider Name | Samantha Eileen Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003697947 PECOS PAC ID: 9537516083 Enrollment ID: I20231106002519 |
| Provider Name | Scott R Soerries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598705535 PECOS PAC ID: 5991691461 Enrollment ID: I20231117001774 |
| Provider Name | John P Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003066143 PECOS PAC ID: 9638230311 Enrollment ID: I20231121002618 |
| Provider Name | Sarah V Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669416780 PECOS PAC ID: 5294767547 Enrollment ID: I20231121003279 |
| Provider Name | Tracie Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134558125 PECOS PAC ID: 9931336054 Enrollment ID: I20231122002007 |
| Provider Name | Rebecca Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349832 PECOS PAC ID: 8628366143 Enrollment ID: I20231122002021 |
| Provider Name | Mussie Asmerom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094433 PECOS PAC ID: 5496040024 Enrollment ID: I20231122002153 |
| Provider Name | Joshua Alan Emdur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649218389 PECOS PAC ID: 4183637077 Enrollment ID: I20231122002451 |
| Provider Name | Samantha Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750166500 PECOS PAC ID: 3375991748 Enrollment ID: I20231122003007 |
| Provider Name | Lori Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063878189 PECOS PAC ID: 6800191586 Enrollment ID: I20231124000326 |
| Provider Name | Brenda Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437154440 PECOS PAC ID: 6002900388 Enrollment ID: I20231128000790 |
| Provider Name | Lindsay Trudeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896249 PECOS PAC ID: 4688940182 Enrollment ID: I20231129000740 |
| Provider Name | Theresa M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508096256 PECOS PAC ID: 8123270188 Enrollment ID: I20231129001074 |
| Provider Name | Jeffrey Lee Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992757264 PECOS PAC ID: 4082672985 Enrollment ID: I20231129001167 |
| Provider Name | Alexandra Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649794868 PECOS PAC ID: 0648525865 Enrollment ID: I20231205000218 |
| Provider Name | Alysia C Ogburia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375782 PECOS PAC ID: 4385605534 Enrollment ID: I20231205001638 |
| Provider Name | Manzur Moidunny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689169872 PECOS PAC ID: 7416286067 Enrollment ID: I20231206000413 |
| Provider Name | Allison M Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962673657 PECOS PAC ID: 6901967223 Enrollment ID: I20231212000115 |
| Provider Name | Maria E Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245582915 PECOS PAC ID: 5991016032 Enrollment ID: I20231222002971 |
| Provider Name | Katherine Lynn Hill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497482665 PECOS PAC ID: 7618327032 Enrollment ID: I20231228000426 |
| Provider Name | Troy Robert Weber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003048430 PECOS PAC ID: 2668822941 Enrollment ID: I20231228002619 |
| Provider Name | Emelia Winston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922486885 PECOS PAC ID: 9133472384 Enrollment ID: I20231228003002 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20240101000059 |
| Provider Name | Jason Hogge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952044927 PECOS PAC ID: 5496134041 Enrollment ID: I20240103000095 |
| Provider Name | Kelcee Kociemba |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992394555 PECOS PAC ID: 1456702356 Enrollment ID: I20240104002526 |
| Provider Name | Luke Mcfarland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679216865 PECOS PAC ID: 6901285543 Enrollment ID: I20240105001213 |
| Provider Name | Monica Marie Guggenberger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003187899 PECOS PAC ID: 2062863723 Enrollment ID: I20240105004047 |
| Provider Name | Angela Marie Williams Schroden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619221140 PECOS PAC ID: 6507217874 Enrollment ID: I20240111000549 |
| Provider Name | Katie Beth Boecker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588965065 PECOS PAC ID: 3971954108 Enrollment ID: I20240111002958 |
| Provider Name | Angela Young |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992900195 PECOS PAC ID: 3173975448 Enrollment ID: I20240123001258 |
| Provider Name | Amy Lynn Roden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013153 PECOS PAC ID: 2860713807 Enrollment ID: I20240129000902 |
| Provider Name | Zachary Cole Dorholt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114105699 PECOS PAC ID: 2860845492 Enrollment ID: I20240130002131 |
| Provider Name | Barbara Skodje-mack |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609933498 PECOS PAC ID: 3678916814 Enrollment ID: I20240205003400 |
| Provider Name | Patrick C Oguejiofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881982114 PECOS PAC ID: 8820301518 Enrollment ID: I20240207001796 |
| Provider Name | Teresa Mangin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144385352 PECOS PAC ID: 9032284104 Enrollment ID: I20240207002657 |
| Provider Name | Jennifer Minor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851745103 PECOS PAC ID: 8022370063 Enrollment ID: I20240214002256 |
| Provider Name | Lori Kay Laudenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689155624 PECOS PAC ID: 9931543881 Enrollment ID: I20240219002265 |
| Provider Name | Alex Shaykevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427630698 PECOS PAC ID: 6204239916 Enrollment ID: I20240220002655 |
| Provider Name | Kristine Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629849237 PECOS PAC ID: 8022452630 Enrollment ID: I20240221003782 |
| Provider Name | Rebecca Hoppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922537851 PECOS PAC ID: 0042540668 Enrollment ID: I20240301001934 |
| Provider Name | Stephanie Seasly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336405711 PECOS PAC ID: 5799908331 Enrollment ID: I20240304002967 |
| Provider Name | Jennifer Barie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917912 PECOS PAC ID: 2062858160 Enrollment ID: I20240312001515 |
| Provider Name | Darrell Nettlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669851697 PECOS PAC ID: 6507142056 Enrollment ID: I20240315003167 |
| Provider Name | Kristina Chien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518602820 PECOS PAC ID: 8325428915 Enrollment ID: I20240319000943 |
| Provider Name | Thomas Whitton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407204233 PECOS PAC ID: 6608154745 Enrollment ID: I20240402000697 |
| Provider Name | Emma Sheforgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184481418 PECOS PAC ID: 8123466729 Enrollment ID: I20240402001481 |
| Provider Name | Travis Gaujot Bias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285860478 PECOS PAC ID: 4183759376 Enrollment ID: I20240403000497 |
| Provider Name | Sushrit Bisht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558936765 PECOS PAC ID: 5991108797 Enrollment ID: I20240408000379 |
| Provider Name | Morgan Kucala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831501204 PECOS PAC ID: 8527406644 Enrollment ID: I20240409000343 |
| Provider Name | Erin Niehaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742610 PECOS PAC ID: 2769878800 Enrollment ID: I20240411004930 |
| Provider Name | Parth Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104323203 PECOS PAC ID: 4789932518 Enrollment ID: I20240416001163 |
| Provider Name | Charles W Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652792 PECOS PAC ID: 0941210314 Enrollment ID: I20240416001703 |
| Provider Name | Kandi Mari Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275887531 PECOS PAC ID: 9537312798 Enrollment ID: I20240422001703 |
| Provider Name | Cassandra Jonai Sanow-hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740033802 PECOS PAC ID: 5496194458 Enrollment ID: I20240423004263 |
| Provider Name | Tammy Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710986997 PECOS PAC ID: 9537072046 Enrollment ID: I20240429001490 |
| Provider Name | Kim Confer-seeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124020151 PECOS PAC ID: 7719027614 Enrollment ID: I20240502002174 |
| Provider Name | Caleb Hansen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275119851 PECOS PAC ID: 3274934666 Enrollment ID: I20240508000726 |
| Provider Name | Jennifer Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295312049 PECOS PAC ID: 7810306735 Enrollment ID: I20240510002529 |
| Provider Name | Nabeel Saghir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417487323 PECOS PAC ID: 3173898301 Enrollment ID: I20240513001010 |
| Provider Name | Melissa Armstrong Glassford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336416536 PECOS PAC ID: 8426487158 Enrollment ID: I20240514002037 |
| Provider Name | Hassan Haji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720666522 PECOS PAC ID: 1052714276 Enrollment ID: I20240528001797 |
| Provider Name | Erica K Tauck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922459957 PECOS PAC ID: 5395016158 Enrollment ID: I20240529000446 |
| Provider Name | Rajaninder Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679905202 PECOS PAC ID: 9436441615 Enrollment ID: I20240606004188 |
| Provider Name | Donghong Zhang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477577435 PECOS PAC ID: 0143292052 Enrollment ID: I20240607000754 |
| Provider Name | Juliana Tacardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376964452 PECOS PAC ID: 3870827983 Enrollment ID: I20240609000127 |
| Provider Name | Alexandra Schefter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972037430 PECOS PAC ID: 3375815996 Enrollment ID: I20240614003950 |
Centracare - Plaza Clinic (women & Children) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic-women & Children, St Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3667 | |
Centracare Clinic Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Centracare Circle, Centracare Clinic Internal Medicine, St Cloud, MN 56303 Phone: 320-229-4928 | |
Centracare Clinic - Lifestyle Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7009 | |
Centra Care Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143 | |
Simplicity Health Direct Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3290 42nd Avenue South, Suite 100, St Cloud, MN 56301 Phone: 320-267-1341 | |
Centracare Clinic - Northway Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1555 Northway Drive, St Cloud, MN 56303 Phone: 320-251-1775 Fax: 320-240-3131 |