Participant Providers

Entity Legal Business Name	Group NPI	First Name	Last Name	Individual NPI	TERM DATE/ ADD DATE
Berland Medical Group LLC	1376052019	Gregory	Berland	1265427405		1
		Cari	Caraway	1184793192		2

IntegrityNP LLC	1730636820	Julie	Riekki	Practice Owner
		Jessica	Perez	1821741836		3
		Jennifer	Graybill	1497016406		4
		Rhonda	Jackson	1861738817		5
		Angela	Sommers Cormier	1598067654		6
		Lisa	Haynes	1992050983		7
		Yves	Jean-Baptiste, MD	1871542043		8
		Yizhe (Edi)	Li	1467198804		9
		Shirley	Tabor	1780922500		10
		Alicia	Ketchum	1588080501		11
		Michael	Piety	1811241607		12
		Kristi	Kita	1770039372	Effective 11/1/2023
Pier D. Frank MD, LLC	1538135132	Pier	Frank	1538135132		13
		Ruth	Lambe	1801471602		14
		Benoit Orpha	Choiniere	1356347256	Effective 10/1/2023	15
		David	Frank	Practice Manager
V.J. Dilella DO LLC	1265420541	Vincent	Dilella	1760471502		16
		MARLENA	DIETRICH	1881065746		17
		ANDREW	GROSS	1396723003		18
		CHRISTOPHER	KELLY	1306834783		19
		LARRY	LEVINE	1811991540		20
		LISA	KENDALL	1720077134		21
		WILLIAM	KROCTA	1114963444		22
		SHAWN	REED	1205824588		23
		SUSAN	RIVERA	1114918786		24
		Heide M.	Kipp	1467153882		25
ACT Health Solutions	1801369418	Ada C.	Tapper	1669425229		26
Home Docs FLA	1518347038	John	Croker	1518927763		27
		BESSIE	KUEFFLER APRN FNP BC	1568911667		28
		MARY	RIGGINS ARNP	1821584483		29
		PAUL	BOND APRN	1497108716		30
		RAYMOND	DE CASTRO MD	1104015932		31
		Jonathan	Rabusa	1073130332		32
		Alicia	Hulzsizer	128538035		33
		Ronald	Klug	1679026017		34
		Charles	Cantrell	1801317212	Termed :August 2023	35
Care Advantage	1902297310	Jennifer	Santiago	1659622744		37
		Brenda	Britten	1174954838		38
		Kirsten	Murphy	1649445578		39
		Meghan	Viegas	1932256047		40
Grant Medical Service, Inc.	1952618415	Yvonne	Grant	1740277912		42