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PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC
NPI 1174341887
Nurse Practitioner - Gerontology in Kokomo, IN

Active since October 01, 2024
800 SAINT JOSEPH DR, KOKOMO, IN 46901(443) 275-9800 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2026, Oct 1, 2024 (2 updates tracked since 2024).

About Provider Partners Care Management Indiana Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC (NPI 1174341887) is a healthcare organization registered as a gerontology in Kokomo, Indiana and active in the NPI registry since October 2024. The organization lists Craig Allen Fleischmann, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174341887
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NamePROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC
Location Address800 SAINT JOSEPH DRKokomo, IN 46901-1983
Mailing Address8820 Columbia 100 Pkwy Ste 430Columbia, MD 21045-2175 · (410) 967-2097
Phone(443) 275-9800
Organization SubpartNo
Authorized OfficialCraig Allen FleischmannCfo · (410) 241-5063
Enumeration DateOctober 1, 2024
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1174341887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
800 SAINT JOSEPH DR, Kokomo, IN 46901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JILL MARGARET VANHAAREN M.ED.
Speech-Language Pathologist
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 236-1239
WITHAM MEMORIAL HOSPITAL
Skilled Nursing Facility
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 236-1239
MARIA JOAN BAYANI PARADO OTR
Occupational Therapist
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 236-1239
MONICA BROOKS
Clinical Nurse Specialist (Long-Term Care)
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 236-1239
AMANDA HARP RN
Registered Nurse (General Practice)
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 236-1239
MS. RACHEL LYNN BISHIR LPN
Licensed Practical Nurse
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Howard County (765) 450-9842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provider Partners Care Management Indiana LLC's NPI number?

The NPI number for Provider Partners Care Management Indiana LLC is 1174341887. It was assigned to this organization in the NPPES registry on October 1, 2024.

Where is Provider Partners Care Management Indiana LLC located?

Provider Partners Care Management Indiana LLC is located at 800 Saint Joseph Dr, Kokomo, IN 46901. The listed phone number is (443) 275-9800.

What is Provider Partners Care Management Indiana LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Provider Partners Care Management Indiana LLC was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.