Nicole Denise Wilbanks (NPI# 1720631617, PAC ID# 4082944111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720631617 |
| PAC ID by PECOS | 4082944111 |
| Professional Enrollment ID | I20191002002448 |
| Full Name | Nicole Denise Wilbanks |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Address |
11456 S Broadway Crown Point IN 46307-7106 |
| Phone Number | 2194880154 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294628046 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| Address | Phone | Organization |
|---|---|---|
| 11456 S Broadway, Crown Point, IN 46307-7106 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| 425 Joliet St, Suite 400, Dyer, IN 46311-1768 | 2194880165 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sridhar Vallabhaneni | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 S Wolf Rd D, Westchester, IL 60154-5643 |
| Ryan Marshall Unger | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Timothy King | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Randolph Y Chang | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 10215 W Roosevelt Rd, Suite A, Westchester, IL 60154-2555 |
| Todd S Hagle | Internal Medicine | Advanced Pain and Anesthesia Consultants, PC | 2740 W Foster Ave, Suite 301, Chicago, IL 60625-3526 |
| Julie Rowin | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Rana F Mafee | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Street Address |
11456 S BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy King | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROWN POINT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole Denise Wilbanks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.