| Healthnet, Inc. | |
|
2855 N Keystone Ave Ste 100 Indianapolis IN 46218-2790 | |
| (317) 957-2300 | |
| (317) 957-2320 |
| Full Name | Healthnet, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 N Keystone Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Ricardo Diaz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3179572000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthnet, Inc. 3403 E Raymond St Indianapolis IN 46203-4744 Ph: (317) 957-2000 | Healthnet, Inc. 2855 N Keystone Ave Ste 100 Indianapolis IN 46218-2790 Ph: (317) 957-2300 |
| NPI Number | 1780634964 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/16/2016 |
| Medicare PECOS PAC ID | 7214840933 |
|---|---|
| Medicare Enrollment ID | O20031110000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780634964 | NPI | - | NPPES |
| 100117700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Rick Allen Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619970704 PECOS PAC ID: 9931012861 Enrollment ID: I20031107000364 |
| Provider Name | Kenya S Everette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205021268 PECOS PAC ID: 3072415496 Enrollment ID: I20040311000057 |
| Provider Name | Carol Lynn Dellinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689663031 PECOS PAC ID: 8527043983 Enrollment ID: I20040621000572 |
| Provider Name | Michael D Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699765198 PECOS PAC ID: 3971570540 Enrollment ID: I20040913001375 |
| Provider Name | Kristin J Hem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023007440 PECOS PAC ID: 4981663572 Enrollment ID: I20041008000443 |
| Provider Name | Donald H Trainor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043207244 PECOS PAC ID: 9335104264 Enrollment ID: I20041119000808 |
| Provider Name | Scott I Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790893139 PECOS PAC ID: 7517925878 Enrollment ID: I20050103000861 |
| Provider Name | Sharon A Carl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598760654 PECOS PAC ID: 2062461593 Enrollment ID: I20050121000409 |
| Provider Name | Michael James Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942259676 PECOS PAC ID: 2466407762 Enrollment ID: I20050321000205 |
| Provider Name | Mary P Trainor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732770 PECOS PAC ID: 4486600541 Enrollment ID: I20050322001189 |
| Provider Name | Gina E Laite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437263308 PECOS PAC ID: 6709832751 Enrollment ID: I20050323000820 |
| Provider Name | Mary A Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205825379 PECOS PAC ID: 5991743080 Enrollment ID: I20050419001467 |
| Provider Name | Richard M Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528185915 PECOS PAC ID: 1254371073 Enrollment ID: I20050516000939 |
| Provider Name | David Burton Kercheval |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528076858 PECOS PAC ID: 8628076882 Enrollment ID: I20061122000178 |
| Provider Name | Kendra T Karner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168404 PECOS PAC ID: 1658371992 Enrollment ID: I20070110000279 |
| Provider Name | Karla J Fehd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932140860 PECOS PAC ID: 8123121118 Enrollment ID: I20070313000029 |
| Provider Name | Emily S Bowsher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992887632 PECOS PAC ID: 1658477997 Enrollment ID: I20070503000427 |
| Provider Name | Kristen E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619160132 PECOS PAC ID: 0446342190 Enrollment ID: I20070825000023 |
| Provider Name | Margaret E Feemster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144261900 PECOS PAC ID: 4789778614 Enrollment ID: I20070921000592 |
| Provider Name | Holly S Coriell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205927068 PECOS PAC ID: 0244329803 Enrollment ID: I20071204000656 |
| Provider Name | Paula J Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023291325 PECOS PAC ID: 7416039805 Enrollment ID: I20080501000349 |
| Provider Name | Duane A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356320113 PECOS PAC ID: 4082787023 Enrollment ID: I20080723000744 |
| Provider Name | Marianne Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780884833 PECOS PAC ID: 2961476817 Enrollment ID: I20080925000498 |
| Provider Name | Selena Bartelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922072628 PECOS PAC ID: 6608774708 Enrollment ID: I20081107000278 |
| Provider Name | Sarah A Tieman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486540 PECOS PAC ID: 3173672466 Enrollment ID: I20090515000167 |
| Provider Name | Mushkbar J Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013170430 PECOS PAC ID: 3274672290 Enrollment ID: I20091204000468 |
| Provider Name | Jeanne Ellen Ballard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730134859 PECOS PAC ID: 6002956091 Enrollment ID: I20091223000332 |
| Provider Name | Gregory M Sutliff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194604 PECOS PAC ID: 1759335060 Enrollment ID: I20100421000572 |
| Provider Name | Henry L. Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275640773 PECOS PAC ID: 1254462070 Enrollment ID: I20100623000260 |
| Provider Name | Varon E Cantrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750500070 PECOS PAC ID: 3173679248 Enrollment ID: I20100715000252 |
| Provider Name | Martha Yoder Maust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700873585 PECOS PAC ID: 9739212036 Enrollment ID: I20100807000055 |
| Provider Name | Kathleen A Cohenour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881681682 PECOS PAC ID: 7113051343 Enrollment ID: I20100810000609 |
| Provider Name | Richard J Reifenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730177460 PECOS PAC ID: 9032243274 Enrollment ID: I20100810000716 |
| Provider Name | Peter H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760471593 PECOS PAC ID: 8921122698 Enrollment ID: I20100901000730 |
| Provider Name | Nancy R Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468310 PECOS PAC ID: 9032234356 Enrollment ID: I20100909001250 |
| Provider Name | Chrystal L Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053308056 PECOS PAC ID: 0244356061 Enrollment ID: I20100929000333 |
| Provider Name | Rebecca L Lindberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679774178 PECOS PAC ID: 9739371113 Enrollment ID: I20101004000717 |
| Provider Name | Jeffrey P Meglin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366653529 PECOS PAC ID: 0143415331 Enrollment ID: I20101113000047 |
| Provider Name | Matthew R Overley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558537902 PECOS PAC ID: 6305027863 Enrollment ID: I20110217000062 |
| Provider Name | Tamara I Mendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457340804 PECOS PAC ID: 9931144458 Enrollment ID: I20110224000756 |
| Provider Name | Audrey M Wehr-dowland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760687461 PECOS PAC ID: 3971781212 Enrollment ID: I20110711000078 |
| Provider Name | Irene A Mccluskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497065569 PECOS PAC ID: 7113195728 Enrollment ID: I20110727000079 |
| Provider Name | Jana L Seitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447419692 PECOS PAC ID: 7810166659 Enrollment ID: I20110811000332 |
| Provider Name | Christen M Prible |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285830380 PECOS PAC ID: 7810167269 Enrollment ID: I20110823000553 |
| Provider Name | Jennifer B Seele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649475658 PECOS PAC ID: 4183896889 Enrollment ID: I20110930000061 |
| Provider Name | Theresa K Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952580862 PECOS PAC ID: 3476542648 Enrollment ID: I20120627000402 |
| Provider Name | Melissa Kimberly Elrod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194086306 PECOS PAC ID: 7315102712 Enrollment ID: I20120710000683 |
| Provider Name | Melissa Inpanbutr Martinkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982773164 PECOS PAC ID: 0749327047 Enrollment ID: I20130118000317 |
| Provider Name | Angela R Witzmann |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215971833 PECOS PAC ID: 1254578115 Enrollment ID: I20130513000506 |
| Provider Name | Valerie K Gathers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417190125 PECOS PAC ID: 5597908889 Enrollment ID: I20130905000948 |
| Provider Name | Dayna Nicole Ridderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285959288 PECOS PAC ID: 9931334224 Enrollment ID: I20131022000969 |
| Provider Name | Kiersa D Durfee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972793800 PECOS PAC ID: 3072686674 Enrollment ID: I20131204001458 |
| Provider Name | Stephanie M Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346682895 PECOS PAC ID: 2365679131 Enrollment ID: I20131226001577 |
| Provider Name | Sheri T Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720309214 PECOS PAC ID: 3072759562 Enrollment ID: I20140103001536 |
| Provider Name | Yanick D Rockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639505431 PECOS PAC ID: 8426287426 Enrollment ID: I20140218000420 |
| Provider Name | Amy Lynn Solari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568876100 PECOS PAC ID: 5890912406 Enrollment ID: I20140805002107 |
| Provider Name | Jennifer R Sorg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326458381 PECOS PAC ID: 0648498139 Enrollment ID: I20140825002063 |
| Provider Name | Sommer G Rentmeesters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619293073 PECOS PAC ID: 8022258045 Enrollment ID: I20140923000566 |
| Provider Name | Melissa J Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891190484 PECOS PAC ID: 5597987388 Enrollment ID: I20141111001711 |
| Provider Name | Evette Blackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548658594 PECOS PAC ID: 7214253129 Enrollment ID: I20150311000893 |
| Provider Name | Krista L Schwuchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982936175 PECOS PAC ID: 0042484701 Enrollment ID: I20150312001189 |
| Provider Name | Tara S Wesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821491671 PECOS PAC ID: 6406176874 Enrollment ID: I20150527000203 |
| Provider Name | Crystal Shirish Mehta |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1972868313 PECOS PAC ID: 4688993934 Enrollment ID: I20150821014436 |
| Provider Name | Kristine F Van Winkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924712 PECOS PAC ID: 1759521834 Enrollment ID: I20150826001252 |
| Provider Name | Elizabeth Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578941852 PECOS PAC ID: 2365750031 Enrollment ID: I20150929002113 |
| Provider Name | Brent Joseph Pickett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609139831 PECOS PAC ID: 8325286594 Enrollment ID: I20160811001610 |
| Provider Name | Abigail Lynn Wantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520408 PECOS PAC ID: 0345535357 Enrollment ID: I20160829002832 |
| Provider Name | Melissa Ann Hoeping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541434 PECOS PAC ID: 0749576882 Enrollment ID: I20160915001488 |
| Provider Name | Seth C Mckinney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043753197 PECOS PAC ID: 6204117401 Enrollment ID: I20161230000776 |
| Provider Name | Lori Sue Fishburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544584 PECOS PAC ID: 5092092759 Enrollment ID: I20170505000492 |
| Provider Name | Brittany N Bither |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336481290 PECOS PAC ID: 1153564323 Enrollment ID: I20170821000987 |
| Provider Name | Nathaniel J Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841726619 PECOS PAC ID: 3779855887 Enrollment ID: I20170824002241 |
| Provider Name | Emily M Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780020842 PECOS PAC ID: 0244464147 Enrollment ID: I20170922000185 |
| Provider Name | Jeff Charles Reinhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861472201 PECOS PAC ID: 8022141621 Enrollment ID: I20170927000864 |
| Provider Name | Katherine M Hafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695067 PECOS PAC ID: 0143595231 Enrollment ID: I20170928002511 |
| Provider Name | Nicole C Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063807121 PECOS PAC ID: 7618298845 Enrollment ID: I20171108002230 |
| Provider Name | Nubia Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598280968 PECOS PAC ID: 0547526147 Enrollment ID: I20171115001660 |
| Provider Name | Jessica H Pittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710131743 PECOS PAC ID: 9537337522 Enrollment ID: I20171122000912 |
| Provider Name | Trina N Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447761994 PECOS PAC ID: 4688932023 Enrollment ID: I20171213000564 |
| Provider Name | Daniel John Bartley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265575021 PECOS PAC ID: 2365453214 Enrollment ID: I20180103001189 |
| Provider Name | Andrew Ross Wickman O'brien |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962848507 PECOS PAC ID: 0143461285 Enrollment ID: I20180405002366 |
| Provider Name | Jason Soultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955449 PECOS PAC ID: 8921351289 Enrollment ID: I20181102001358 |
| Provider Name | Kelli Coeline Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376001024 PECOS PAC ID: 4183964364 Enrollment ID: I20190326001616 |
| Provider Name | Leah Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043796303 PECOS PAC ID: 5799027546 Enrollment ID: I20190429000491 |
| Provider Name | Alison Case |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063862217 PECOS PAC ID: 8426342924 Enrollment ID: I20190903000766 |
| Provider Name | James R Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922366061 PECOS PAC ID: 2769621002 Enrollment ID: I20190924003313 |
| Provider Name | Mai Sung Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992352074 PECOS PAC ID: 7214267731 Enrollment ID: I20190926001470 |
| Provider Name | Aliscia Pavelle Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316596950 PECOS PAC ID: 2163754029 Enrollment ID: I20191024003196 |
| Provider Name | Sunitha Valambige Mudalagiri Gowda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952619348 PECOS PAC ID: 8729228861 Enrollment ID: I20200116000598 |
| Provider Name | Elizabeth Prusak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255514386 PECOS PAC ID: 1153453352 Enrollment ID: I20200128001516 |
| Provider Name | Tracy L Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053956987 PECOS PAC ID: 6002244712 Enrollment ID: I20200311002080 |
| Provider Name | Jana Pomeroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306321245 PECOS PAC ID: 8325375413 Enrollment ID: I20200316001464 |
| Provider Name | Jamea A Umendu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801251640 PECOS PAC ID: 7012208010 Enrollment ID: I20200429000860 |
| Provider Name | Ashley E Seidner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013370485 PECOS PAC ID: 0749571222 Enrollment ID: I20200723001871 |
| Provider Name | Rachael A Steinken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649652983 PECOS PAC ID: 2163703489 Enrollment ID: I20200812002626 |
| Provider Name | Jacqueline K Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952711772 PECOS PAC ID: 3476778739 Enrollment ID: I20201105000332 |
| Provider Name | Megan Mcclowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457956682 PECOS PAC ID: 0941614150 Enrollment ID: I20210129001682 |
| Provider Name | Rashida Akilah Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509140 PECOS PAC ID: 9436565942 Enrollment ID: I20210309000327 |
| Provider Name | Margaret Palmer Streeten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295323012 PECOS PAC ID: 3375959604 Enrollment ID: I20210310002012 |
| Provider Name | Erika L Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689111049 PECOS PAC ID: 6204242506 Enrollment ID: I20210311001350 |
| Provider Name | Jacklyn Lynnae Campins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275127805 PECOS PAC ID: 4486063492 Enrollment ID: I20210504000665 |
| Provider Name | Jessie M Thibedeau |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699282459 PECOS PAC ID: 9739435587 Enrollment ID: I20210624000479 |
| Provider Name | Kaylie Lauren Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558892489 PECOS PAC ID: 9830467349 Enrollment ID: I20210723001965 |
| Provider Name | Rachel Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255837142 PECOS PAC ID: 7012264351 Enrollment ID: I20210820002971 |
| Provider Name | Seshagiri R Veerapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265954093 PECOS PAC ID: 3173897162 Enrollment ID: I20210825003141 |
| Provider Name | Andrew T Scripture |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558035451 PECOS PAC ID: 3274930391 Enrollment ID: I20210916000463 |
| Provider Name | Amy Elizabeth Guzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386396885 PECOS PAC ID: 4880087725 Enrollment ID: I20220217000239 |
| Provider Name | Jermaine Allen Lindsey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467107904 PECOS PAC ID: 6103210513 Enrollment ID: I20220301001947 |
| Provider Name | Stephen Bryce Benzinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417453648 PECOS PAC ID: 0446515977 Enrollment ID: I20220708003303 |
| Provider Name | Jennifer Sue Cook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477290757 PECOS PAC ID: 6002297470 Enrollment ID: I20220715001942 |
| Provider Name | Alex M Geiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124530316 PECOS PAC ID: 5991050940 Enrollment ID: I20220727001854 |
| Provider Name | Kelsey Loden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346731064 PECOS PAC ID: 4183974926 Enrollment ID: I20220830000209 |
| Provider Name | Caitlin A Canal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417319930 PECOS PAC ID: 4981071669 Enrollment ID: I20221109002419 |
| Provider Name | Evelyn Christel Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165771 PECOS PAC ID: 4082083688 Enrollment ID: I20221202001381 |
| Provider Name | Alexis Huckleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043947492 PECOS PAC ID: 3375913361 Enrollment ID: I20230109002125 |
| Provider Name | Dyan N Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811605421 PECOS PAC ID: 8729451810 Enrollment ID: I20230311000359 |
| Provider Name | Samantha Jo Harmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558074906 PECOS PAC ID: 3779957436 Enrollment ID: I20230320001355 |
| Provider Name | Cheyenne Kierra Starner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306563994 PECOS PAC ID: 8224403704 Enrollment ID: I20230414001310 |
| Provider Name | Rachel M Behrend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538623178 PECOS PAC ID: 8820488406 Enrollment ID: I20230913001408 |
| Provider Name | Adrienne Claire Tabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134809320 PECOS PAC ID: 5890149850 Enrollment ID: I20230925001150 |
| Provider Name | Blythe N Kinsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538468343 PECOS PAC ID: 3375842396 Enrollment ID: I20231128000264 |
| Provider Name | Erin Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538859343 PECOS PAC ID: 5496107286 Enrollment ID: I20240117002512 |
| Provider Name | Adam Goff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770055824 PECOS PAC ID: 6800234493 Enrollment ID: I20240402000911 |
| Provider Name | James Lamar Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518042431 PECOS PAC ID: 8426496035 Enrollment ID: I20240402001816 |
| Provider Name | Elizabeth Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841832938 PECOS PAC ID: 5799123006 Enrollment ID: I20240405001512 |
| Provider Name | Peter L Wiethe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831162486 PECOS PAC ID: 2062852502 Enrollment ID: I20240430003903 |
| Provider Name | Lesli Ann Senesac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700468766 PECOS PAC ID: 8527408780 Enrollment ID: I20240504000356 |
| Provider Name | Rasheed Ojerinde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104462704 PECOS PAC ID: 4880099878 Enrollment ID: I20240507001398 |
| Provider Name | Krystyn Gunther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588013783 PECOS PAC ID: 7517210941 Enrollment ID: I20240509001300 |
| Provider Name | Mark Edward Lincks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124781422 PECOS PAC ID: 8022455864 Enrollment ID: I20240524001065 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |