Provider Partners Care Management Indiana LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC

Practice address

800 Saint Joseph Dr
Kokomo, IN 46901-1983

Phone

(443) 275-9800

NPI assigned

Oct 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig Allen Fleischmann

Title

Cfo

Phone

(410) 241-5063

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1174341887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452175",
            "telephone_number": "410-967-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT JOSEPH DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011983",
            "telephone_number": "443-275-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMANN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-241-5063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Prince
• Mirikle Prince
• Lindsay Marie Pringle, RN, FNP-C
• Pro2 Kokomo, LLC
• David I Proctor III, OT
• Psychotherapy Associates of Kokomo, LLC
• Shiloh Pullen
• Kushagra Pundir, MD
• Franklin Forest Purciful, PA
• Melody Hall Pyle, ACSW,LCSW

• Gerontology Nurse Practitioner in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.