Nps Wellness | |
5230 Beck Dr Ste 3 Elkhart IN 46516-9059 | |
(574) 622-1522 | |
(574) 699-1588 |
Full Name | Nps Wellness |
---|---|
Speciality | Clinic/Center |
Location | 5230 Beck Dr Ste 3, Elkhart, Indiana |
Authorized Official Name and Position | Kertes Stephanie (OWNER) |
Authorized Official Contact | 5742743925 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nps Wellness 5230 Beck Dr Ste 3 Elkhart IN 46516-9059 Ph: (574) 622-1522 | Nps Wellness 5230 Beck Dr Ste 3 Elkhart IN 46516-9059 Ph: (574) 622-1522 |
NPI Number | 1225605207 |
---|---|
Provider Enumeration Date | 06/08/2021 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 4183024821 |
---|---|
Medicare Enrollment ID | O20210616003131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225605207 | NPI | - | NPPES |
201317770 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Stephanie Kay Kertes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326414160 PECOS PAC ID: 7911215363 Enrollment ID: I20151005000415 |
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