Brandi Larson (NPI# 1588014336, PAC ID# 4385939362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588014336 |
| PAC ID by PECOS | 4385939362 |
| Professional Enrollment ID | I20160830001840 |
| Full Name | Brandi Larson |
| Organization Legal Name | VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC |
| Address |
777 S Main St Suite 100 Clinton IN 47842-2493 |
| Phone Number | 7658281003 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618067265 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151326 | UNION HOSPITAL CLINTON |
| Address | Phone | Organization |
|---|---|---|
| 703 W Park St, Cayuga, IN 47928-8207 | 7654929042 | VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC |
| 777 S Main St, Suite 100, Clinton, IN 47842-2493 | 7658281003 | VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean P Ewing | Family Medicine | Valley Professionals Community Health Center Inc | 703 W Park St, Cayuga, IN 47928-8207 |
| Jordan Ryley | Nurse Practitioner | Valley Professionals Community Health Center Inc | 727 N Lincoln Rd, Rockville, IN 47872-1117 |
| Louwanna M Wallace | Nurse Practitioner | Valley Professionals Community Health Center Inc | 201 W Academy St, Vermillion Parke Community Health Center Inc, Bloomingdale, IN 47832-8095 |
| Patrick L Foley | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Lisa Karen Tincher | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Christopher M Fitzsimmons | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Gretchen Blevins | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Randall Lee Stevens | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Brandie D Ruark | Nurse Practitioner | Valley Professionals Community Health Center Inc | 727 N Lincoln Rd, Rockville, IN 47872-1117 |
| Bing Wang Gale | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Street Address |
777 S MAIN ST SUITE 100 |
| City | CLINTON |
| State | IN |
| Zip | 47842-2493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick L Foley | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Lisa Karen Tincher | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Christopher M Fitzsimmons | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Gretchen Blevins | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Randall Lee Stevens | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Bing Wang Gale | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Tammy L Mundy | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Edward A Rico | Endocrinology | Hospital and Medical Foundation of Paris Inc | 777 S Main St, Family Medical Center, Clinton, IN 47842-2493 |
| Amber Lee Cadick | Psychologist, Clinical | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Nicole S Hall | Nurse Practitioner | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veda J Gregory | Nurse Practitioner | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Frank Spendal | Hospitalist | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Roger E Jones | Family Medicine | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Peggy L Sankey | Family Medicine | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Samantha C Lambertus | Nurse Practitioner | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Anna M Schimmoller | Family Practice | Parke Clinic PC | 819 S 3rd St, Clinton, IN 47842-2205 |
| Charles H Rutan | Optometry | 224 Elm St, Clinton, IN 47842-2312 | |
| Brenda E Seibold | Nurse Practitioner | 100 S Main St, Clinton, IN 47842-2437 | |
| Danielle M Cundiff | Hospitalist | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Charles Richard French | Family Medicine | Valley Professionals Community Health Center Inc | 777 S Main St, Suite 100, Clinton, IN 47842-2493 |
| Find all physicians in zip 47842 | |||
| City | CLINTON |
| Zip Code | 47842 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brandi Larson.
| 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.