Fast Pace Medical Clinic Pllc - Medicare Primary Care in Hanover, IN

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Fast Pace Medical Clinic Pllc is a medicare enrolled primary clinic (Family Medicine) in Hanover, Indiana. The current practice location for Fast Pace Medical Clinic Pllc is 4152 W State Road, Hanover, Indiana. For appointments, you can reach them via phone at (931) 253-1110. The mailing address for Fast Pace Medical Clinic Pllc is Po Box 1258, Waynesboro, Tennessee and phone number is (931) 253-1110.

Fast Pace Medical Clinic Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649770769. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (931) 253-1110.

Contact Information

Fast Pace Medical Clinic Pllc
4152 W State Road
Hanover
IN 47243
(931) 253-1110
(931) 722-9919

Map and Direction


Primary Care Clinic Profile

Full NameFast Pace Medical Clinic Pllc
SpecialityFamily Medicine
Location4152 W State Road, Hanover, Indiana
Authorized Official Name and PositionRobert Benson (COO)
Authorized Official Contact9312531110
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fast Pace Medical Clinic Pllc
Po Box 1258
Waynesboro
TN 38485-1258

Ph: (931) 253-1110		Fast Pace Medical Clinic Pllc
4152 W State Road
Hanover
IN 47243

Ph: (931) 253-1110

NPI Details:

NPI Number1649770769
Provider Enumeration Date02/15/2018
Last Update Date03/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5395881841
Medicare Enrollment IDO20200827001491

Medical Identifiers

Medical identifiers for Fast Pace Medical Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649770769NPI-NPPES
300036022MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fast Pace Medical Clinic Pllc acts as a billing entity for following providers:
Provider NameJulie Ann Maudlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306801642
PECOS PAC ID: 2769386572
Enrollment ID: I20031124000208
Provider NameLori D Duggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457352635
PECOS PAC ID: 8921087172
Enrollment ID: I20040720000479
Provider NameDonna Jean Eve
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891799730
PECOS PAC ID: 5597735498
Enrollment ID: I20040914001436
Provider NameJennifer L Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386649432
PECOS PAC ID: 2264495084
Enrollment ID: I20041111000531
Provider NameJennifer Leanne Swank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497736425
PECOS PAC ID: 0840257473
Enrollment ID: I20041215000878
Provider NameMichael C Harper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487615415
PECOS PAC ID: 7113939133
Enrollment ID: I20060612000145
Provider NameMichelle Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114087749
PECOS PAC ID: 6901901107
Enrollment ID: I20070417000452
Provider NameRichard J Bobay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881732881
PECOS PAC ID: 6406916238
Enrollment ID: I20081125000071
Provider NameTheresa D Atkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992946677
PECOS PAC ID: 9638228737
Enrollment ID: I20090520000310
Provider NameTanya Ruth Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407954696
PECOS PAC ID: 6406905223
Enrollment ID: I20090527000078
Provider NameAnn Marie Vash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154553196
PECOS PAC ID: 8628118809
Enrollment ID: I20091218000409
Provider NameLou C Kline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932424652
PECOS PAC ID: 7517099534
Enrollment ID: I20100709000383
Provider NameAmy L Bayer-millard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336455641
PECOS PAC ID: 0941494033
Enrollment ID: I20101102001500
Provider NameJennifer A Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710284526
PECOS PAC ID: 0547442808
Enrollment ID: I20110308000214
Provider NameTara A Mendoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366742488
PECOS PAC ID: 0648455840
Enrollment ID: I20110504000182
Provider NameMichelle D Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861778763
PECOS PAC ID: 6204000920
Enrollment ID: I20111115000504
Provider NameValerie J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629227434
PECOS PAC ID: 6709047798
Enrollment ID: I20120419000044
Provider NameBarry Louis Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316292956
PECOS PAC ID: 1456256494
Enrollment ID: I20120920000793
Provider NameDonna M Everman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821343500
PECOS PAC ID: 8729238209
Enrollment ID: I20121017000918
Provider NameKristin M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003165275
PECOS PAC ID: 7911151238
Enrollment ID: I20130213000454
Provider NameJanelle L Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962719351
PECOS PAC ID: 1557540549
Enrollment ID: I20130730000913
Provider NameVickie Lynn Emberton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730529413
PECOS PAC ID: 4082858741
Enrollment ID: I20130918000782
Provider NameFrances D Laka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023370103
PECOS PAC ID: 9234364712
Enrollment ID: I20131109000337
Provider NameTina M Woodrome-nethery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962759274
PECOS PAC ID: 4183872021
Enrollment ID: I20140326002168
Provider NameMelissa A Pyatskowit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154673820
PECOS PAC ID: 5698908010
Enrollment ID: I20140512001383
Provider NameHolly Laue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255743076
PECOS PAC ID: 0648495549
Enrollment ID: I20140709001985
Provider NameLaura Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972912376
PECOS PAC ID: 9032338728
Enrollment ID: I20140911000305
Provider NameMinsun Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205225554
PECOS PAC ID: 2668796137
Enrollment ID: I20150112001154
Provider NameJeffrey Coy
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1447494893
PECOS PAC ID: 3274507579
Enrollment ID: I20150626001455
Provider NameRebecca E Waugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962888677
PECOS PAC ID: 7113233990
Enrollment ID: I20150825005093
Provider NameMelissa A Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851794374
PECOS PAC ID: 1153643903
Enrollment ID: I20151013000057
Provider NameJill Suzette Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871758904
PECOS PAC ID: 1557439213
Enrollment ID: I20151027000199
Provider NameTara L Pearcy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770952897
PECOS PAC ID: 0941500557
Enrollment ID: I20151204000267
Provider NameAmber L Graber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649649781
PECOS PAC ID: 2668779596
Enrollment ID: I20160321001470
Provider NameLeann E. Guerra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093171829
PECOS PAC ID: 5496044315
Enrollment ID: I20160517000992
Provider NameJulie Crowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730496563
PECOS PAC ID: 6608038658
Enrollment ID: I20160902001376
Provider NamePriscilla Rasaki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760841548
PECOS PAC ID: 7810296563
Enrollment ID: I20161128001136
Provider NameElizabeth A Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053861195
PECOS PAC ID: 5597047209
Enrollment ID: I20170112001938
Provider NameLaura Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598296873
PECOS PAC ID: 6204111487
Enrollment ID: I20170330002338
Provider NameLora E Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871032045
PECOS PAC ID: 4284911298
Enrollment ID: I20170501000094
Provider NameTonya M Whitaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881128536
PECOS PAC ID: 4587932744
Enrollment ID: I20170613001397
Provider NameAmber N Handshoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073034500
PECOS PAC ID: 5496025611
Enrollment ID: I20170720003060
Provider NameCharlotte Claire Waling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831610740
PECOS PAC ID: 6901170695
Enrollment ID: I20170919002238
Provider NameErin E Diem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588190755
PECOS PAC ID: 1658637590
Enrollment ID: I20171109002756
Provider NameJessica N Bekkering
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700301090
PECOS PAC ID: 8527325471
Enrollment ID: I20171130001395
Provider NameKasey J Hollenbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760864169
PECOS PAC ID: 8325354152
Enrollment ID: I20180222002191
Provider NameTimothy Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467949073
PECOS PAC ID: 6204190283
Enrollment ID: I20180426002577
Provider NameIsrael Nieto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952890352
PECOS PAC ID: 6800151028
Enrollment ID: I20180517001097
Provider NameCassie Hackman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750886966
PECOS PAC ID: 8820345861
Enrollment ID: I20180720002451
Provider NameCody R Stein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346745619
PECOS PAC ID: 2264789866
Enrollment ID: I20180726002518
Provider NameAmy Allison Sites
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104302744
PECOS PAC ID: 2961750260
Enrollment ID: I20180802002011
Provider NameMichelle C Mercier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134601552
PECOS PAC ID: 5294086385
Enrollment ID: I20181001000087
Provider NameMiranda Cassity
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841772472
PECOS PAC ID: 3971855909
Enrollment ID: I20181002003300
Provider NameTrevor Dylan Whipker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326513268
PECOS PAC ID: 4688928666
Enrollment ID: I20181109000925
Provider NameBridjett Gassaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194291526
PECOS PAC ID: 8123363652
Enrollment ID: I20190102002177
Provider NameRebecca Joy Groen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073070009
PECOS PAC ID: 1254671993
Enrollment ID: I20190318000156
Provider NameMary Jacqueline Wharton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992265904
PECOS PAC ID: 8224370465
Enrollment ID: I20190508002091
Provider NameDanielle R Hollenbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659855310
PECOS PAC ID: 3577805746
Enrollment ID: I20190509000051
Provider NameJennifer Lee Scales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982162723
PECOS PAC ID: 7113166695
Enrollment ID: I20190522003152
Provider NameAmber Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104480235
PECOS PAC ID: 6305173253
Enrollment ID: I20190815000113
Provider NameRebecca Chantelois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992362131
PECOS PAC ID: 1557699618
Enrollment ID: I20190827003313
Provider NameDebra A Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245792522
PECOS PAC ID: 8527391416
Enrollment ID: I20191126002372
Provider NameTobey Gilmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134770167
PECOS PAC ID: 2769815380
Enrollment ID: I20191211002801
Provider NameGinger M Richard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093352130
PECOS PAC ID: 8224462460
Enrollment ID: I20191223000603
Provider NameDawn K Sirek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760944797
PECOS PAC ID: 6002243110
Enrollment ID: I20200303000838
Provider NameJessica Lynn Haviland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538792668
PECOS PAC ID: 7719315977
Enrollment ID: I20200322000113
Provider NameJohn Houston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386793008
PECOS PAC ID: 1557441144
Enrollment ID: I20200724002403
Provider NamePamela S Cornwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558753152
PECOS PAC ID: 8123444965
Enrollment ID: I20200811003067
Provider NameShana L Dendy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992336713
PECOS PAC ID: 0244656528
Enrollment ID: I20200818000108
Provider NameMelanie Josephine Pickett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902417686
PECOS PAC ID: 5890113195
Enrollment ID: I20200918001337
Provider NameJessica E Arwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912513896
PECOS PAC ID: 6204246515
Enrollment ID: I20201027002649
Provider NameLisa Marie Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568083038
PECOS PAC ID: 4284044462
Enrollment ID: I20201028002547
Provider NameFelicia Marie Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386232429
PECOS PAC ID: 1355755752
Enrollment ID: I20210126002360
Provider NameNicole Renee Quainoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104418904
PECOS PAC ID: 7214343201
Enrollment ID: I20210317002374
Provider NameLacey Youhas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669934865
PECOS PAC ID: 2567704943
Enrollment ID: I20210713000550
Provider NameAmanda Baskin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639563794
PECOS PAC ID: 4789923152
Enrollment ID: I20210806001669
Provider NameAmber D Raeth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043988975
PECOS PAC ID: 5193113173
Enrollment ID: I20211025000379
Provider NameCamille Mae Carl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730788720
PECOS PAC ID: 3072927649
Enrollment ID: I20211101001132
Provider NameJennifer Sue Mendel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225706013
PECOS PAC ID: 0547658908
Enrollment ID: I20211104000639
Provider NameLyndia Henson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972265817
PECOS PAC ID: 9931598125
Enrollment ID: I20211109002259
Provider NameDesiree Fawn Craig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962167551
PECOS PAC ID: 3870982028
Enrollment ID: I20211110000943
Provider NameSarah Enlow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639838824
PECOS PAC ID: 8527459007
Enrollment ID: I20211216000847
Provider NameMelissa Ritchie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477212231
PECOS PAC ID: 2961895677
Enrollment ID: I20220201002306
Provider NameShauna Gish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306940762
PECOS PAC ID: 9537168646
Enrollment ID: I20220302002114
Provider NameAbby N Strong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891442042
PECOS PAC ID: 4486040235
Enrollment ID: I20220405001125
Provider NameJennifer Coffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063065209
PECOS PAC ID: 7810228335
Enrollment ID: I20220426001316
Provider NameKimberly Burrus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770228306
PECOS PAC ID: 8224425848
Enrollment ID: I20220429001500
Provider NameHaleigh Jordan Nidlinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356011266
PECOS PAC ID: 6709263882
Enrollment ID: I20220510002610
Provider NameKellee Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154073963
PECOS PAC ID: 1850770249
Enrollment ID: I20220615000346
Provider NameDanielle Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609434539
PECOS PAC ID: 8527492636
Enrollment ID: I20220701001622
Provider NameTeresa Kinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609178987
PECOS PAC ID: 6305035783
Enrollment ID: I20220711002488
Provider NameMelissa Wilkerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144854456
PECOS PAC ID: 8224417837
Enrollment ID: I20220907003294
Provider NameSarah Rudkosky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457079758
PECOS PAC ID: 1355725474
Enrollment ID: I20220908001157
Provider NameNathan Reed Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326777152
PECOS PAC ID: 7214312735
Enrollment ID: I20220920002777
Provider NameMarti Wagers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639892136
PECOS PAC ID: 2163808163
Enrollment ID: I20220928002237
Provider NameAustin Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255840492
PECOS PAC ID: 5092131631
Enrollment ID: I20221005002161
Provider NameLisa Ruth May
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548984248
PECOS PAC ID: 3072989201
Enrollment ID: I20221013000725
Provider NameCaitlyn Mariel Smallwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083384218
PECOS PAC ID: 4486022019
Enrollment ID: I20221201001978
Provider NameLauren Nicole Shewman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184334922
PECOS PAC ID: 9830568005
Enrollment ID: I20221209001343
Provider NameColby Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295406551
PECOS PAC ID: 3375912314
Enrollment ID: I20221213002717
Provider NameKarlee Stamey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164976593
PECOS PAC ID: 9335436435
Enrollment ID: I20221216001519
Provider NameRenee Marie Goodrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124750815
PECOS PAC ID: 6901276104
Enrollment ID: I20230104002705
Provider NameChad Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649981580
PECOS PAC ID: 2769852599
Enrollment ID: I20230112000152
Provider NameJulie Elizabeth Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295449437
PECOS PAC ID: 8325419039
Enrollment ID: I20230117001167
Provider NameHaley L Mifflin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639885791
PECOS PAC ID: 6608247713
Enrollment ID: I20230128000331
Provider NameFidelity Ageh Akonji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598462939
PECOS PAC ID: 8820460942
Enrollment ID: I20230217001170
Provider NameIrene M Nzuki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285340455
PECOS PAC ID: 4981077047
Enrollment ID: I20230310001706
Provider NameAndrea Marie Maley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205546959
PECOS PAC ID: 9537533450
Enrollment ID: I20230316000435
Provider NameMisty Dawn Bozarth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598467896
PECOS PAC ID: 7517331788
Enrollment ID: I20230330001032
Provider NameHayley Bussey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285324962
PECOS PAC ID: 0941666358
Enrollment ID: I20230509002564
Provider NameTakeyah A Rosenthall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275218083
PECOS PAC ID: 8123486123
Enrollment ID: I20230623001065
Provider NameKayla Richter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679259030
PECOS PAC ID: 7113386723
Enrollment ID: I20230629002570
Provider NameTrisha Darling
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700548369
PECOS PAC ID: 8123483450
Enrollment ID: I20230721002075
Provider NameTara Engel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780363572
PECOS PAC ID: 5698136539
Enrollment ID: I20230725003282
Provider NameSheena Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497449961
PECOS PAC ID: 6709240492
Enrollment ID: I20230913004121
Provider NameJulie Coulson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386893147
PECOS PAC ID: 8527124940
Enrollment ID: I20230915002359
Provider NameKara Jean Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013794130
PECOS PAC ID: 7012361306
Enrollment ID: I20230920001439
Provider NameJayma Marie Bauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619613825
PECOS PAC ID: 6507212396
Enrollment ID: I20231031001467
Provider NameJulia Bouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649044520
PECOS PAC ID: 9830546654
Enrollment ID: I20231115002354
Provider NameKelly Schoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134996390
PECOS PAC ID: 3779932785
Enrollment ID: I20231214003680
Provider NameLauren Kay Carlisle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184811069
PECOS PAC ID: 9638528664
Enrollment ID: I20231215000300
Provider NameCameron Kitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114601267
PECOS PAC ID: 2961852132
Enrollment ID: I20231229002421
Provider NameHeather Myree Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962279216
PECOS PAC ID: 2668824806
Enrollment ID: I20240123003742
Provider NameKristin Steed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063273324
PECOS PAC ID: 2567815418
Enrollment ID: I20240127000559
Provider NameHaley Holscher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932961893
PECOS PAC ID: 3173966223
Enrollment ID: I20240206003322
Provider NameShelly L Bunch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992581557
PECOS PAC ID: 3274976295
Enrollment ID: I20240207000753
Provider NameElizabeth Anne Mysliwiec
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013640200
PECOS PAC ID: 0749624724
Enrollment ID: I20240217000351
Provider NameAngela M Hahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255101333
PECOS PAC ID: 3173969086
Enrollment ID: I20240314001307
Provider NameSultana Saber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710752175
PECOS PAC ID: 2860839958
Enrollment ID: I20240325003351
Provider NameNikiesha Rollins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487404190
PECOS PAC ID: 9739527029
Enrollment ID: I20240405000540
Provider NameShelby Rae Lafon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346000486
PECOS PAC ID: 4981042140
Enrollment ID: I20240405003704
Provider NameJames Pennington
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063098192
PECOS PAC ID: 4688017486
Enrollment ID: I20240423001413
Provider NameLindsey Marie Garber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417700402
PECOS PAC ID: 5395185201
Enrollment ID: I20240425002110

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Family Medicine in Hanover, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.