Provider List as of End of Contract ( March 31 , 2024 ) | |||
Individual NPI |
Provider First Name |
Provider Last Name |
Specialty |
1114098464 |
LISA |
LOGAN |
PHYSICIAN ASSISTANT |
1134226426 |
JEAN |
ADAMSKI |
NURSE PRACTITIONER |
1194344895 |
SAMIA |
AMJAD |
FAMILY MEDICINE |
1720445455 |
SEPIDEH |
ARYA-SANDE |
PHYSICIAN ASSISTANT |
1801456371 |
MICHAEL |
BABCOCK |
FAMILY MEDICINE |
1851896062 |
SAMIR |
BAJWA |
INTERNAL MEDICINE |
1104478411 |
TARYN |
BALES |
PHYSICIAN ASSISTANT |
1871627521 |
TIFFANY |
BARNETT |
FAMILY MEDICINE |
1972791614 |
SHRUTI |
BASHO |
FAMILY MEDICINE |
1871193300 |
ALLISON |
BASTA |
NURSE PRACTITIONER |
1780973891 |
DEREK |
BEENFELDT |
FAMILY MEDICINE |
1538225776 |
BRET |
BELLARD |
FAMILY MEDICINE |
1205358785 |
RACHEL |
BENSON |
FAMILY MEDICINE |
1932676012 |
EDITH |
BEREJNAYA |
NURSE PRACTITIONER |
1336339951 |
AARON |
BERTALMIO |
FAMILY MEDICINE |
1598191066 |
RACHEL |
BIRD |
PHYSICIAN ASSISTANT |
1760837595 |
ROBERT |
BOGART |
FAMILY MEDICINE |
1528123254 |
DANIEL |
BRADFORD |
FAMILY MEDICINE |
1013597756 |
RYAN |
BRISTOL |
NURSE PRACTITIONER |
1033186457 |
JANICE |
BRYAN |
NURSE PRACTITIONER |
1316599681 |
JEANNA |
BURKE |
PHYSICIAN ASSISTANT |
1801446760 |
GREGORY |
BURNETT |
PHYSICIAN ASSISTANT |
1437867926 |
KATIE |
CALLAHAN |
NURSE PRACTITIONER |
1376081661 |
CANDICE |
CAMERON |
PHYSICIAN ASSISTANT |
1235744103 |
DENISE |
DORSA |
NURSE PRACTITIONER |
1104570969 |
TRINA |
CARTER |
NURSE PRACTITIONER |
1962504142 |
RICHARD |
CHEN |
FAMILY MEDICINE |
1295398485 |
VINCENT |
CHUANG |
INTERNAL MEDICINE |
1962924241 |
ASHLEY |
DIMPEL |
NURSE PRACTITIONER |
1427544923 |
KRYSTAL |
DORMAN |
NURSE PRACTITIONER |
1336610997 |
AMAYA |
DRAKE |
PHYSICIAN ASSISTANT |
1962829820 |
BONNIE |
FERRARA |
FAMILY MEDICINE |
1326617994 |
CORY |
FREY |
NURSE PRACTITIONER |
1558403006 |
KARL |
FRIEDRICH |
FAMILY MEDICINE |
1487858247 |
ALICIA |
GARAVENTA |
NURSE PRACTITIONER |
1275027930 |
NATHANIEL |
GARDUQUE |
NURSE PRACTITIONER |
1669082459 |
SARAH |
GENTILE |
NURSE PRACTITIONER |
1366000606 |
LUKE |
GENTNER |
PHYSICIAN ASSISTANT |
1679143903 |
MORGAN |
GILLIAM |
NURSE PRACTITIONER |
1609019777 |
DANELL |
GILMAN |
NURSE PRACTITIONER |
1467544106 |
KIERSTEN |
GREGORY |
PHYSICIAN ASSISTANT |
1225112550 |
MICHAEL |
HALEY |
INTERNAL MEDICINE |
1225688187 |
LINDSEY |
HALL |
NURSE PRACTITIONER |
1518570357 |
SARAH |
HERBERT |
NURSE PRACTITIONER |
1457918161 |
QUAY |
HERVEY |
PHYSICIAN ASSISTANT |
1487035614 |
ERIN |
HICKS |
NURSE PRACTITIONER |
1992270318 |
ERIN |
HILL |
NURSE PRACTITIONER |
1083748743 |
BRION |
HILL |
FAMILY MEDICINE |
1417361965 |
BRANDON |
HOCKENBERRY |
FAMILY MEDICINE |
1811298078 |
BENJAMIN |
HOGAN |
PHYSICIAN ASSISTANT |
1154806867 |
JEAN |
HYDE |
PHYSICIAN ASSISTANT |
1326786716 |
KAITLYN |
JACOBSON |
PHYSICIAN ASSISTANT |
1861969214 |
DALTON |
JAMES |
PHYSICIAN ASSISTANT |
1205203585 |
KEVIN |
JENSEN |
PHYSICIAN ASSISTANT |