Raphael Health Center Inc
A Medicare group practice based in Indianapolis, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486562659), with 39 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486562659
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- IN
- Enrollments
- 4
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20021205000023 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 1487764759 |
| O20041227000466 | IN | Part B Supplier - Clinic/Group Practice | 1487764759 |
| O20240920001563 | IN | Part B Supplier - Pharmacy | 1194582221 |
| O20230824003338 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 1881383420 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Raphael Health Center, Inc
dba Raphael Health Center Pharmacy
- Pharmacy
- Indianapolis, IN
- NPI 1194582221
-
Raphael Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1487764759
-
Raphael Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1881383420
Practice locations
- Indianapolis, IN5
Clinicians 39
Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (13).
-
Nicolas Andrade, MD
- Family Medicine Physician
- Indianapolis, IN
- NPI 1275283277
-
Dorothy C Boersma, MD, MPH
- Family Medicine Physician
- Indianapolis, IN
- NPI 1174544530
-
Jessica Brown
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1982084687
-
Brandi R Bunner, LMHCA
- Mental Health Counselor
- Indianapolis, IN
- NPI 1457825226
-
Charles Andrew Class, MD
- Psychiatry Physician
- Indianapolis, IN
- NPI 1891779922
-
Ashley Christine Dickerson, DDS
- Dentist
- Indianapolis, IN
- NPI 1619406345
-
Audrey A. Dickerson, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1902258866
-
Dino Jacquard Dieudonne, DDS
- General Practice Dentistry
- Indianapolis, IN
- NPI 1578124517
-
Teylor N Ellis, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1699402693
-
Charitye Ford, LCSW
- Clinical Social Worker
- Indianapolis, IN
- NPI 1528886579
-
Kelsey Lynne Grennell, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1457177503
-
Cara Hargett, LCSW
- Clinical Social Worker
- Indianapolis, IN
- NPI 1609278944
-
Hobie Holden, PA
- Physician Assistant
- Carmel, IN
- NPI 1952149494
-
Hannah Huff
- Family Medicine Physician
- Muncie, IN
- NPI 1972166106
-
Jacqueline M Jenkins, OD
- Optometrist
- Indianapolis, IN
- NPI 1639162811
-
Jennifer Katz
- Clinical Social Worker
- Indianapolis, IN
- NPI 1265450779
-
Chelsea A Kepler, DDS
- General Practice Dentistry
- Ann Arbor, MI
- NPI 1245760255
-
Mitchell D Krathwohl, MD
- Infectious Disease Physician
- Indianapolis, IN
- NPI 1447225818
-
Larissa Krenk, OD
- Optometrist
- Indianapolis, IN
- NPI 1679134498
-
Andrew Lane, D.D.S.
- Dentist
- Indianapolis, IN
- NPI 1669466736
-
Andrew Everett Lasley, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1568195246
-
Brittany Lewis, PA-C
- Physician Assistant
- Greenwood, IN
- NPI 1962175422
-
Sarah E Miller, NP
- Psychiatric/Mental Health Nurse Practitioner
- Carmel, IN
- NPI 1245604867
-
Suzanne E Montgomery, MD
- Family Medicine Physician
- Indianapolis, IN
- NPI 1851391718
-
Ashley Morgan, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1871263079
-
Tiffany Marie Napier, FNP-C
- Primary Care Nurse Practitioner
- Indianapolis, IN
- NPI 1013853092
-
Alicia Holly Ottenweller, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1164942538
-
Neil A. Pence, O.D.
- Optometrist
- Bloomington, IN
- NPI 1689643520
-
Katherine Arvia Breen Piedmonte, RD, LD, MS
- Registered Dietitian
- Fishers, IN
- NPI 1760159909
-
Matea Rippe, PA
- Physician Assistant
- Indianapolis, IN
- NPI 1588244941
-
Amber Lynn Roth, M.D.
- Family Medicine Physician
- Indianapolis, IN
- NPI 1114124948
-
Nathan Veryl Roth, M.D.
- Family Medicine Physician
- Indianapolis, IN
- NPI 1336346162
-
Jonathan David Spenn, DMD
- Public Health Dentistry
- Ocala, FL
- NPI 1942435318
-
Angela Nicole Trackwell
- Family Nurse Practitioner
- Greenfield, IN
- NPI 1558992156
-
Tara Suzanne Wakefield, MD
- Family Medicine Physician
- Indianapolis, IN
- NPI 1427490762
-
Peyton West, PA-C
- Physician Assistant
- Indianapolis, IN
- NPI 1386364792
-
Lajeune Fredia Williams, LCSW
- Clinical Social Worker
- Indianapolis, IN
- NPI 1770217515
-
Louis Leigh Winternheimer, M.D.
- Family Medicine Physician
- Indianapolis, IN
- NPI 1528033107
-
Rachel L. Ziegler, PSYD
- Addiction (Substance Use Disorder) Counselor
- Indianapolis, IN
- NPI 1407881303
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.