| Appleton Area Health | |
|
30 S. Behl St. Appleton MN 56208 | |
| (320) 289-1580 | |
| (320) 289-8538 |
| Full Name | Appleton Area Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 S. Behl St., Appleton, Minnesota |
| Authorized Official Name and Position | Jacob William Redepenning (CFO) |
| Authorized Official Contact | 3202898514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appleton Area Health 30 S. Behl St. Appleton MN 56208 Ph: (320) 289-1580 | Appleton Area Health 30 S. Behl St. Appleton MN 56208 Ph: (320) 289-1580 |
| NPI Number | 1730126673 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 7618952565 |
|---|---|
| Medicare Enrollment ID | O20060818000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730126673 | NPI | - | NPPES |
| 294310700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |
| Provider Name | Utpal Chakravorty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295761641 PECOS PAC ID: 3274520234 Enrollment ID: I20040429001488 |
| Provider Name | William J Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942270681 PECOS PAC ID: 5294718623 Enrollment ID: I20040608000894 |
| Provider Name | Anthony Chibuzo Okwudiri Nwakama |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588778658 PECOS PAC ID: 4183696503 Enrollment ID: I20040806000971 |
| Provider Name | Deborah S Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629024823 PECOS PAC ID: 7719937192 Enrollment ID: I20050124000654 |
| Provider Name | Larry Jay Grong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871653758 PECOS PAC ID: 8123060217 Enrollment ID: I20050531000270 |
| Provider Name | Jonathan W Mellema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083680458 PECOS PAC ID: 6305882861 Enrollment ID: I20050706000707 |
| Provider Name | Marcia S Kells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164498804 PECOS PAC ID: 5092853382 Enrollment ID: I20091106000029 |
| Provider Name | Lisa M Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912970179 PECOS PAC ID: 3870544869 Enrollment ID: I20100428000975 |
| Provider Name | Swachetan Singh Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447526652 PECOS PAC ID: 1850602525 Enrollment ID: I20150622002046 |
| Provider Name | Michael A Bess |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811906456 PECOS PAC ID: 4880647247 Enrollment ID: I20160219000502 |
| Provider Name | Brandon Chase Osbon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871908715 PECOS PAC ID: 2961799937 Enrollment ID: I20171005001200 |
| Provider Name | Kelsey Lee Tollefson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942727540 PECOS PAC ID: 8527327949 Enrollment ID: I20180302000304 |
| Provider Name | Elizabeth Anne Charles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083108815 PECOS PAC ID: 6305181017 Enrollment ID: I20181228001208 |
| Provider Name | Penny Hormann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265997340 PECOS PAC ID: 9436498383 Enrollment ID: I20190312000041 |
| Provider Name | Tonya L Diggins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952322760 PECOS PAC ID: 4880608694 Enrollment ID: I20190319000007 |
| Provider Name | Yuan Y Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598152829 PECOS PAC ID: 0244521300 Enrollment ID: I20210715004179 |
| Provider Name | Crystal Rae Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902084742 PECOS PAC ID: 4385040906 Enrollment ID: I20210908000590 |
| Provider Name | William Vandivier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619956398 PECOS PAC ID: 7416953088 Enrollment ID: I20230104001209 |
| Provider Name | Elizabeth Anne Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083108815 PECOS PAC ID: 6305181017 Enrollment ID: I20230131002956 |
| Provider Name | Lesa Jo Thielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255041703 PECOS PAC ID: 5698148765 Enrollment ID: I20230310001799 |
| Provider Name | Charles Francis Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730178914 PECOS PAC ID: 9335238773 Enrollment ID: I20230414001113 |
| Provider Name | Brittany Lee Hamann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033504550 PECOS PAC ID: 4385089184 Enrollment ID: I20240304000626 |
| Provider Name | Lisa Joy Decathelineau |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114086188 PECOS PAC ID: 9133566458 Enrollment ID: I20240322000688 |