DCE Participant Providers List_Feb 1, 2023

Entity ID Entity Legal Business Name Performance Year Provider Type Provider Class Provider Legal Business Name Individual NPI Base Provider TIN Primary Care Services Specialty Effective Start Date D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CHERUBA ABRAHAM 1568734630 203395567 Y FAMILY MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DAVID JOHN ACIERTO 1447563622 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ANGELA ADAMI 1750455382 203395567 N CLINICAL SOCIAL WORKER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ANETTA ADAMS 1063782548 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider THOMAS AGNEY 1558334706 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ADNAN AKBAR 1265708697 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ABHILASH AKINAPELLI 1467734285 203395567 N INTERVENTIONAL CARDIOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SOLAIMAN ALGHARBI 1972983427 203395567 Y GERIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CHRISTINA ALSOP 1013263003 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ERICA AMBERS 1477936490 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider LEIGH ANDERSON 1376660472 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider NOVIA ANDERSON 1801455886 203395567 N CLINICAL SOCIAL WORKER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOCELYN ANDERSON 1598284648 203395567 Y PHYSICIAN ASSISTANT January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOHN ANDREWS 1376526822 203395567 N SLEEP MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MARIO APONTES RUIZ 1942579008 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JONATHAN ARTZ 1851475859 203395567 N NEUROLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HAMAD ASHRAF 1023498607 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider OMAR ASHRAF 1598104960 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DANISH ATWAL 1851704100 203395567 N CARDIOVASCULAR DISEASE ( CARDIOLOGY ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MUNADEL AWAD 1821529058 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider STEPHEN BAEZ 1851376123 203395567 N PULMONARY DISEASE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CHRISTINA BAILEY 1023060506 203395567 N INFECTIOUS DISEASE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DEBORAH BAKER 1801982061 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CAROLINE BARANGAN 1760468169 203395567 Y PEDIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ANN BARNET 1710004981 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JAMES BARRETT 1598779027 203395567 Y PHYSICIAN ASSISTANT January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOSHUA BIGLER 1609991629 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MELISSA BLOCH 1982718631 203395567 N NEUROLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider AMY BOOTH 1821018714 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider GABRIEL BOU MERHI 1518943687 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider BRYNJA BOWMAN 1083197644 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DAVID BROCK 1568589752 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider LILLIAN BRONSON 1902337892 203395567 N CERTIFIED NURSE MIDWIFE ( CNM ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider VALERIE BROOKE 1841599305 203395567 N PHYSICAL MEDICINE AND REHABILITATION January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JENNIFER BROWN 1538555602 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KENNETH BROWN 1003435090 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HARMONY BROWN 1508333022 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SARAH BUCHANAN 1487974325 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SONIA BUDHECHA 1023190741 203395567 Y PEDIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider LEO BUNUEL-JORDANA 1083683056 203395567 N EMERGENCY MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider REBECCA BURK 1508122300 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KATHLEEN BURNS 1609205814 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MATTHEW CAIN 1912210931 203395567 N CARDIAC ELECTROPHYSIOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOSEPH CANNONE 1043748387 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SANSAN CAO 1992122105 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SAMUEL CARLI 1275821076 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider STEPHANIE CARLSEN 1750769964 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider TAMSEN CARSON 1356539043 203395567 Y PHYSICIAN ASSISTANT January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider RICHARD CHARLAT 1275554735 203395567 N PSYCHIATRY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KEVIN CHAUNG 1326571001 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider REBECCA CHAVEZ 1588029979 203395567 N CERTIFIED NURSE MIDWIFE ( CNM ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider EVAN CHERRY 1366975435 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider STEPHANIE CHRISTIAN 1063072882 203395567 Y PHYSICIAN ASSISTANT January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KEVIN CHYSNA 1154717130 203395567 N NEUROLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ELLIA CIAMMAICHELLA 1669821260 203395567 N PHYSICAL MEDICINE AND REHABILITATION January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider IRWIN CLAVEL 1932319860 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JAMES COHEN 1578557682 203395567 N MEDICAL ONCOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider AMY CONDON 1336118173 203395567 N OBSTETRICS / GYNECOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CHRISTINA COSS 1366971616 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SARAH COULTER MCKENZIE 1477992204 203395567 N OBSTETRICS / GYNECOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider NATALIE CRAWFORD 1902241672 203395567 N INFECTIOUS DISEASE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DAVID DE LOS SANTOS 1871578146 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider BRUCE DENNEY 1003893751 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider REBECCA DESFOR 1144617507 203395567 Y FAMILY MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MARC DUNBAR 1487950705 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider BENJAMIN EBNER 1285953133 203395567 N INTERVENTIONAL CARDIOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider TAMMY ECKERT 1275900912 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider REBECCA EDWARDS 1063751808 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOHN EDWARDS 1720437908 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ANN EGAN 1811416738 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MICHAEL ELLIOTT 1104845569 203395567 N ORTHOPEDIC SURGERY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider YIZHOU ERNST 1174942569 203395567 N OBSTETRICS / GYNECOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SABRINA FABARA 1558717520 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider AARON FALK 1124341771 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MUHAMMAD YOUNUS 1861888489 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SAYEH FESHARAKI 1871882027 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ELIE FIRZLI 1750490918 203395567 Y PEDIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider BRANDON FLORES 1487001061 203395567 N SLEEP MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider STEPHANIE FLOWERS 1437494515 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DEREK FREIHEIT 1649682097 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider FERNANDO FUENTES 1952669640 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HEATHER FUENTES 1851684641 203395567 N OBSTETRICS / GYNECOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CHRISTOS GALANOPOULOS 1760474555 203395567 N SURGICAL ONCOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SUBANI GAUTAM 1174866214 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider LEE GERWITZ 1972921591 203395567 N NEUROLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JEREMY GONDA 1073635348 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MICHAEL RAYMUND GONZALES 1669635785 203395567 N ENDOCRINOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider WILLIAM GRAHAM 1952668105 203395567 N PULMONARY DISEASE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider GARRETT GREEN 1699034868 203395567 N RADIATION ONCOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JENNIFER GRIFFO 1053931386 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MICHAEL HARDACRE 1730171661 203395567 N RADIATION ONCOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JING HE 1023541745 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SARA HEALY 1629238332 203395567 Y PEDIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DIANNA HEIN 1184036584 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider TOM HERBERT 1295708345 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ROBIN HOLLEN 1184830085 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CARRISSIA FEASTER 1740695352 203395567 N CERTIFIED NURSE MIDWIFE ( CNM ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider NICOLE HUNT 1144870767 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JAKE ICHINO 1033136932 203395567 N INTERVENTIONAL CARDIOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider THERESA INECK 1255789319 203395567 Y PHYSICIAN ASSISTANT January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SCOTT JACOBS 1780647875 203395567 N OBSTETRICS / GYNECOLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JOSHUA JEWELL 1629275581 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MELLYN JOHNSON 1003181926 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JAMES JOHNSTON 1528177367 203395567 Y PEDIATRIC MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KATERINA JONES 1093166001 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider STEPHANIE JONES 1841685005 203395567 N PHYSICAL MEDICINE AND REHABILITATION January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JACK KADING 1760090922 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JASKARIN KAUR 1114311677 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider MICHAEL KE 1326351446 203395567 N NEUROLOGY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CASEY KEATING 1891056438 203395567 N PHYSICAL MEDICINE AND REHABILITATION January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider JACOB KEEPERMAN 1518984178 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HTET KHINE 1770902363 203395567 N CARDIOVASCULAR DISEASE ( CARDIOLOGY ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ROOSTAM KHOLMATOV 1497277123 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ROBERT KIM 1659803856 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider RICHARD KING 1114066156 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SUSAN KITCHELL 1740679117 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SUSAN KLEIN 1780903997 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HEIDI SHOEMAKER 1386899748 203395567 N REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KIMBALL KNACKSTEDT 1043530074 203395567 N THORACIC SURGERY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ELIZABETH KRAYK 1811409519 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SERGEY KUHAREVIC 1376960203 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider KEVIN KURIAKOSE 1487919445 203395567 N INFECTIOUS DISEASE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ELAINA LANTRIP 1487197794 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ARNALDO LAUS 1356653141 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider VICTOR LEE 1508194184 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SUSAN LEE 1174589188 203395567 N PSYCHIATRY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider GUNJAN LEHIL 1427310333 203395567 N PSYCHIATRY January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HANNAH LEITCH 1740739580 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider LEVENTE LEVAI 1558345314 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider NATALIE LEWMAN 1104116045 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider SEAN LINDSTEDT 1407113012 203395567 Y INTERNAL MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider CRISTINE AZEVEDO LISTA 1356626550 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ERICKSON LIWANAG 1255539284 203395567 Y FAMILY MEDICINE January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider HENDERSON LOPEZ 1386170561 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider DANIRIS LUNDBOM 1801469739 203395567 Y NURSE PRACTITIONER January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider ENRIQUE MACHADO FIALLO 1023549540 203395567 N HOSPITALIST January 01 , 2023 12:00 AM D0133 Renown Direct Contracting Entity , LLC PY2023 Individual Participant Participant Provider FARAH MADHANI-LOVELY 1821112848 203395567 N CRITICAL CARE ( INTENSIVISTS ) January 01 , 2023 12:00 AM