Maple City Health Care Center Inc
A Medicare group practice based in Goshen, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2163569401), with 37 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2163569401
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- IN
- Enrollments
- 4
- Group size
- 29 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110307000549 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 1033166095 |
| O20110615000145 | IN | Part B Supplier - Clinic/Group Practice | 1033166095 |
| O20230706001005 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 1275220303 |
| O20150623001394 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 1891181517 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Maple City Health Care Center, Inc
- Federally Qualified Health Center (FQHC)
- Goshen, IN
- NPI 1275220303
-
Maple City Health Care Center, Inc.
- Federally Qualified Health Center (FQHC)
- Goshen, IN
- NPI 1033166095
-
Maple City Health Care Center, Inc.
- Federally Qualified Health Center (FQHC)
- Goshen, IN
- NPI 1891181517
Practice locations
- Goshen, IN6
Clinicians 37
Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (29).
-
Carla J Bailey
- Psychiatric/Mental Health Clinical Nurse Specialist
- South Bend, IN
- NPI 1831763093
-
Rebecca Bauer, MD
- Family Medicine Physician
- Goshen, IN
- NPI 1366762445
-
Callie Maria Bushong
- Family Nurse Practitioner
- Elkhart, IN
- NPI 1497421986
-
Megan Calkins, FNP-BC
- Family Nurse Practitioner
- South Bend, IN
- NPI 1265274013
-
Kenneth Craig, MSW
- Clinical Social Worker
- Goshen, IN
- NPI 1366988537
-
Kaitlyn E Delgado, FNP-BC
- Family Nurse Practitioner
- Goshen, IN
- NPI 1013786227
-
Susan Kay Derrickson, NP-BC
- Nurse Practitioner
- Goshen, IN
- NPI 1104691153
-
Gerardo Diaz, NP
- Nurse Practitioner
- Goshen, IN
- NPI 1861850695
-
Ekomobong E Essien, NP
- Pediatric Nurse Practitioner
- Goshen, IN
- NPI 1457755787
-
Jennifer Guardado, FNP
- Family Nurse Practitioner
- Goshen, IN
- NPI 1588558399
-
Stephen David Harmon, MD
- Family Medicine Physician
- Goshen, IN
- NPI 1962764753
-
Magdalena Hernandez, MSW
- Counselor
- Goshen, IN
- NPI 1295499440
-
Dana Jo Jenkins
- Family Nurse Practitioner
- Cassopolis, MI
- NPI 1497481550
-
Stacy Krahn, CPNP
- Pediatric Nurse Practitioner
- Goshen, IN
- NPI 1629358510
-
Araceli Lepe Moreno, LSW
- Social Worker
- Goshen, IN
- NPI 1740968189
-
Amanda Jane Lind, LMSW
- Mental Health Counselor
- Albuquerque, NM
- NPI 1861004822
-
Allyson Mast, RD
- Registered Dietitian
- Goshen, IN
- NPI 1588119739
-
Michelle Joy Miller Good, RN, FNP
- Family Nurse Practitioner
- Goshen, IN
- NPI 1033656095
-
Ingrid Elizabeth Moser, RD
- Registered Dietitian
- Goshen, IN
- NPI 1093034787
-
Benjamin H Nelson, M.D.
- Orthopaedic Surgery Physician
- Goshen, IN
- NPI 1568403038
-
Jacob Johnston Nolan, PA-C
- Physician Assistant
- Goshen, IN
- NPI 1689275000
-
Heather Ort, APN
- Family Nurse Practitioner
- Mishawaka, IN
- NPI 1093252504
-
Cipriana Ortega
- Family Nurse Practitioner
- Goshen, IN
- NPI 1083063499
-
Ivy Petra, LCSW, LCAC
- Clinical Social Worker
- Goshen, IN
- NPI 1538592704
-
Catherine Przybyla
- Family Nurse Practitioner
- Goshen, IN
- NPI 1952029977
-
Monica Isabel Renteria Gaeta, FNP-BC
- Family Nurse Practitioner
- Goshen, IN
- NPI 1326886888
-
Leah Kathryn Richardson, FNP-BC
- Nurse Practitioner
- Goshen, IN
- NPI 1407341233
-
Frederick Lloyd Ruckersfeldt, MD
- Family Medicine Physician
- South Bend, IN
- NPI 1316472905
-
Lora Elizabeth Rusel, LCSW
- Clinical Social Worker
- Goshen, IN
- NPI 1902223522
-
Megan Salyer, MSN, RN, FNP-BC
- Family Nurse Practitioner
- Elkhart, IN
- NPI 1205713740
-
Gretchen Marie Sauder, NP-C
- Family Nurse Practitioner
- Grants Pass, OR
- NPI 1225426273
-
Nicole Slagel, MSW, LCSW
- Clinical Social Worker
- Elkhart, IN
- NPI 1629608880
-
Madison Rose Sweeney, FNP-BC
- Family Nurse Practitioner
- Goshen, IN
- NPI 1922680065
-
Nancy Patricia Torres Medina, FNP-BC
- Family Nurse Practitioner
- Goshen, IN
- NPI 1073244182
-
Emily Welch, LCSW
- Clinical Social Worker
- Goshen, IN
- NPI 1124464375
-
Ellen Wickey, FNP-C
- Family Nurse Practitioner
- Goshen, IN
- NPI 1841172939
-
Amanda Rose Yeazel
- Primary Care Nurse Practitioner
- Goshen, IN
- NPI 1144115833
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.