Shannon L Kratzer (NPI# 1871821629, PAC ID# 6800921073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871821629 |
| PAC ID by PECOS | 6800921073 |
| Professional Enrollment ID | I20100914000752 |
| Full Name | Shannon L Kratzer |
| Organization Legal Name | PLAZA PARK FAMILY PRACTICE LLC |
| Address |
3799 Venetian Way Newburgh IN 47630-8278 |
| Phone Number | 8124714302 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981830585 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150082 | DEACONESS HOSPITAL INC |
| 150149 | WOMEN'S HOSPITAL THE |
| 150100 | ST. MARY'S HEALTH, INC. |
| Address | Phone | Organization |
|---|---|---|
| 3799 Venetian Way, Newburgh, IN 47630-8278 | 8124714302 | PLAZA PARK FAMILY PRACTICE LLC |
| Organization Legal Name | PLAZA PARK FAMILY PRACTICE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carleen M Rubel | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Elise R Schutt | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Lyndsey Hansen | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Street Address |
3799 VENETIAN WAY |
| City | NEWBURGH |
| State | IN |
| Zip | 47630-8278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carleen M Rubel | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Elise R Schutt | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Lyndsey Hansen | Nurse Practitioner | Plaza Park Family Practice LLC | 3799 Venetian Way, Newburgh, IN 47630-8278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca B Edwards | Clinical Social Worker | 327 W Jennings St, Newburgh, IN 47630-1136 | |
| Kausalya Chilukuri | Family Medicine | St Marys Medical Group LLC | 4166 Wyntree Dr, Newburgh, IN 47630-2521 |
| Melinda Jackson | Family Medicine | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | |
| Ann G Prescott | Nurse Practitioner | St Marys Medical Group LLC | 4166 Wyntree Dr, Newburgh, IN 47630-2521 |
| Krishna R Chilukuri | Family Medicine | St Marys Medical Group LLC | 4166 Wyntree Dr, Newburgh, IN 47630-2521 |
| Anne Marie Alexis | Family Medicine | St Marys Medical Group LLC | 4166 Wyntree Dr, Newburgh, IN 47630-2521 |
| Anna Joan Kavanaugh | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | |
| Claudia Abrams | Nurse Practitioner | Newburgh Urgent Care LLC | 8211w State Route 66 A, Newburgh, IN 47630-2534 |
| Bobbi J Preston | Physical Therapy | Newburgh Chiropractic Psc | 8211 W State Route 66, Newburgh, IN 47630-2534 |
| Shaun P Tymchak | Chiropractic | Newburgh Chiropractic Psc | 8211 W State Route 66, Newburgh, IN 47630-2534 |
| Find all physicians in zip 47630 | |||
| City | NEWBURGH |
| Zip Code | 47630 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWBURGH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon L Kratzer.
| 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.