Christa L Metzelaars (NPI# 1194270603, PAC ID# 6305115445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194270603 |
| PAC ID by PECOS | 6305115445 |
| Professional Enrollment ID | I20170706000880 |
| Full Name | Christa L Metzelaars |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Address |
700 Broadway Ave E Suite 39 Mattoon IL 61938-4662 |
| Phone Number | 2172343091 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456256874 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 302 N Mill St, Greenup, IL 62428-1062 | 2179233311 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| 700 Broadway Ave E, Suite 39, Mattoon, IL 61938-4662 | 2172343091 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Shelley D Reichling | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 824 Locust St, Red Bud, IL 62278-1209 |
| Chester B Nay | Physician Assistant | Southern Illinois Healthcare Foundation, Inc. | 302 N Mill St, Greenup, IL 62428-1062 |
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Susan K Reynolds | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1215 Vandalia St, Collinsville, IL 62234-4060 |
| Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
| Nanthini Suthan | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2294 |
| Theodore Ross | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| Street Address |
700 BROADWAY AVE E SUITE 39 |
| City | MATTOON |
| State | IL |
| Zip | 61938-4662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Helms | Chiropractic | 1804 Broadway Ave, Mattoon, IL 61938-3806 | |
| Terry A Ward | Chiropractic | 1616 Lafayette Ave, Mattoon, IL 61938-3926 | |
| Hunter D Hout | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Garrett B Buell | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Jamie Devon Stephens | Chiropractic | 801 Broadway Ave, Mattoon, IL 61938-4211 | |
| William S Selvidge | Chiropractic | 608 Broadway Ave, Mattoon, IL 61938-4321 | |
| Tina M Funk | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Lars A Gentry | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Rachel Stuckey | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Zehra I Rowjee | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Find all physicians in zip 61938 | |||
| City | MATTOON |
| Zip Code | 61938 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MATTOON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Christa L Metzelaars.
| 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.