Jon W Prairie
INDIANA CLINIC CRITICAL CARE LLC


Address: 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476
Phone: 3179623400

Jon W Prairie (NPI# 1376090266, PAC ID# 6406137702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1376090266
PAC ID by PECOS 6406137702
Professional Enrollment ID I20161228001626
Full Name Jon W Prairie
Organization Legal Name INDIANA CLINIC CRITICAL CARE LLC
Address 1633 N Capitol Ave
Suite 301
Indianapolis
IN 46202-1476
Phone Number 3179623400
Gender M
Graduation Year 1997
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3678600988
Number of Group Practice Members 152
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150056 INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)

Other Locations

Address Phone Organization
1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 3179623400 INDIANA CLINIC CRITICAL CARE LLC

Organization Information

Organization Legal Name INDIANA CLINIC CRITICAL CARE LLC
Physicians 151

Physicians with the same organization

Name Specialty Organization Address
Kristen Montgomery Nurse Practitioner Indiana Clinic Critical Care LLC 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149
Joseph T Lee Hospitalist Indiana Clinic Critical Care LLC 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252
Anil Achaen Internal Medicine Indiana Clinic Critical Care LLC 11725 Illinois St, Suite 465, Carmel, IN 46032-3010
Carole E Floyd Nurse Practitioner Indiana Clinic Critical Care LLC 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822
Bhasker Reddy Hospitalist Indiana Clinic Critical Care LLC 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914
Amanda T Trout Physician Assistant Indiana Clinic Critical Care LLC 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252
Jeffrey L Farmer Hospitalist Indiana Clinic Critical Care LLC 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252
Rajnish Khillan Hospitalist Indiana Clinic Critical Care LLC 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822
Allyson L Thomas Hospitalist Indiana Clinic Critical Care LLC 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252
Stephanie L Davitto Nurse Practitioner Indiana Clinic Critical Care LLC 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914

Office Location

Street Address 1633 N CAPITOL AVE
SUITE 301
City INDIANAPOLIS
State IN
Zip 46202-1476

Physicians in the same location

Name Specialty Organization Address
Kamal C Wagle Geriatric Medicine Indiana University Health Care Associates Inc 1633 N Capitol Ave, 322 Senior Health Care, Indianapolis, IN 46202-1476
Kimberly Ann Eckert Nurse Practitioner Indiana University Health Care Associates Inc 1633 N Capitol Ave, Suite 750, Indianapolis, IN 46202-1270
Tracy Dianne Gunter Psychiatry Indiana University Health Inc 1633 N Capitol Ave, 300 Lifecare, Indianapolis, IN 46202-1467
Darla Berry Certified Nurse Midwife (cnm) University Obstetricians-gynecologists,inc 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202-1453
Emily L Dock Nurse Practitioner Indiana Clinic Critical Care LLC 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476
Susan R Defrain Nurse Practitioner Indiana University Health Care Associates Inc 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476
Stacey Lynn Draper Nurse Practitioner Indiana University Health Inc 1633 N Capitol Ave, 300 Lifecare, Indianapolis, IN 46202-1467
Joycelyn L Howard Certified Clinical Nurse Specialist (cns) Indiana Clinic Critical Care LLC 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476
Juan C Salgado Campo Pulmonary Disease Indiana Clinic Critical Care LLC 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476
Jessica L Nicholson Nurse Practitioner Indiana University Health Care Associates Inc 1633 N Capitol Ave, Suite 750, Indianapolis, IN 46202-1270
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Physicians in the same zip code

Name Specialty Organization Address
Samantha N Jahnke Optometry 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007
Elizabeth Ann Collins Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Julie D Dunlap Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Gabriel M Krause Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Jian Ye Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Anne E Cossu Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Molly Colgan Gerety Certified Registered Nurse Anesthetist (crna) Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Alex J Serafin Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Senthilkumar Sadhasivam Anesthesiology Iu Anesthesiology Associates-pediatrics, LLC 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269
Donal P Dunne Gastroenterology Meridian Medical Group PC 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177
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Competitor

Search similar physicians

City INDIANAPOLIS
Zip Code 46202
Specialty NURSE PRACTITIONER
City + Specialty INDIANAPOLIS + NURSE PRACTITIONER

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Dataset Information

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.

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