Advanced Healthcare Associates LLP

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ADVANCED HEALTHCARE ASSOCIATES LLP

Practice address

2300 Parkview LN
Elwood, IN 46036-1378

Phone

(844) 474-4019

NPI assigned

Jul 12, 2006

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kairee Hargett

Title

Asst Manager, Provider Enrollment

Phone

(775) 222-0042

Specialties & licenses 13

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Nicole Asher, RN, BS, NP-C

  • Family Nurse Practitioner
  • Westfield, IN
  • NPI 1396273967
  Medicare reassignment NPD
• Abigail G Boris, APRN

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1114464575
  Medicare reassignment NPD
• Kelli Joy Bovenkerk, NP

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1285184481
  Medicare reassignment NPD
• Monica S Broo, NP

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1609262294
  Medicare reassignment NPD
• Jennifer Ann Holcomb, AGNP

  • Nurse Practitioner
  • Elwood, IN
  • NPI 1700561495
  Medicare reassignment NPD
• Chijioke A. Kalu, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1326012162
  Medicare reassignment NPD
• Annabel Lackey, AGNP

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1275186892
  Medicare reassignment NPD
• Jennifer Maki, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1578802112
  Medicare reassignment NPD
• Erin O'Donnell, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1427594142
  Medicare reassignment NPD
• Thomas Edwin Puckett Jr., N.P.

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1346626876
  Medicare reassignment NPD
• Stephen Alan Rappaport, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1124248935
  Medicare reassignment NPD
• Leo Solito

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1780625731
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1841225091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111",
            "telephone_number": "240-686-2300",
            "fax_number": "240-686-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PARKVIEW LN",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460361378",
            "telephone_number": "844-474-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "KAIREE",
        "authorized_official_title_or_position": "ASST MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "775-222-0042"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100225520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100460560A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DR2810",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100226770",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "CI1868",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Access Behavioral Health LLC
• Advanced Pain Management of Elwood
• Audrey R Alcala, FNP
• Katie Allen, BCBA
• Bryan K Amador, BA
• American Health Network of Indiana, LLC

• Geriatric Medicine (Internal Medicine) Physician in Elwood, IN
• Providers in Elwood, IN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.