Kelly A Anderson (NPI# 1043592033, PAC ID# 4385818780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1043592033 |
PAC ID by PECOS | 4385818780 |
Professional Enrollment ID | I20111121000954 |
Full Name | Kelly A Anderson |
Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
Address |
1010 W Washington Ctr Kingston Care Center of Fort Wayna Fort Wayne IN 46825-4155 |
Phone Number | 2604892552 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1850589102 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150021 | PARKVIEW REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 | 2604892552 | KINGSTON CARE PARTNERS, LLC |
Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa M Kapper | Nurse Practitioner | Kingston Care Partners, LLC | 20 Amberwood Pkwy, Ashland, OH 44805-9765 |
Laura Rothschild | Nurse Practitioner | Kingston Care Partners, LLC | 333 E Boundary St, Perrysburg, OH 43551-2860 |
Adam K Pinkerton | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
Michelle Fuhr | Nurse Practitioner | Kingston Care Partners, LLC | 345 E Boundary St, Perrysburg, OH 43551-2760 |
Tiffany Dawn Shadle | Nurse Practitioner | Kingston Care Partners, LLC | 2400 Legacy Ct, Santa Fe, NM 87507-4819 |
Carolyn E Graham | Nurse Practitioner | Kingston Care Partners, LLC | 2010 Amberwood Pkwy, Ashland, OH 44805 |
Raeann L Brodbeck | Nurse Practitioner | Kingston Care Partners, LLC | 4121 King Rd, Sylvania, OH 43560-4438 |
Brandy Young | Nurse Practitioner | Kingston Care Partners, LLC | 7515 Winchester Rd, Kingston Residence of Ft Wayne, Fort Wayne, IN 43560-2257 |
Terri S Sanchez | Nurse Practitioner | Kingston Care Partners, LLC | 904 2nd St Ne, Hickory, NC 28601-3871 |
Susanne E Reece | Nurse Practitioner | Kingston Care Partners, LLC | 1120 Dunaway St, Miamisburg, OH 45342-3839 |
Street Address |
1010 W WASHINGTON CTR KINGSTON CARE CENTER OF FORT WAYNA |
City | FORT WAYNE |
State | IN |
Zip | 46825-4155 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adam K Pinkerton | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
Elizabeth A Osborne | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
Carol A White | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
Lisa M Cotten | Physician Assistant | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana M Nguyen | Podiatry | Richard M. Hilker, Dpm, P.C. | 10323 Dawson's Creek Blvd Bldg, 10c, Fort Wayne, IN 46825 |
David A Campbell | Rheumatology | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Amie Dent | Registered Dietitian Or Nutrition Professional | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Michele L Helfgott | Obstetrics/gynecology | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Wendy Sue Clark | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Kim Sue Penland | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Moran Muehlmeyer | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Karen S Evans | Family Medicine | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Brooke Elizabeth Bohnstedt | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Hirenkumar P Patel | Internal Medicine | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
Find all physicians in zip 46825 |
City | FORT WAYNE |
Zip Code | 46825 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.