PMHNP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
Accepts Medicare Psych/Mental Health Nurse Practitioner in Elkhart, Indiana.
Mr. Willard Keith Cupp Iii is a Elkhart, Indiana based nurse practitioner with 4 years of experience in Psych/Mental Health. He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Willard Keith Cupp Iii is 71010753A for Psych/Mental Health in Indiana. His current practice location is 236 Simpson Ave, Elkhart. Patients can reach him at 574-293-0052. Mr. Willard Keith Cupp Iii is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1265021406. Mr. Willard Keith Cupp Iii provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Willard Keith Cupp Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3173937299
Enrollment ID:
I20210202001233
NPI Number:
1265021406
NPI Enumeration Date:
12 Jan, 2021
NPI Last Update On:
03 Nov, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Willard Keith Cupp Iii are as mentioned below.
License Number
Specialization
State
Status
71010753A
Psych/Mental Health
Indiana
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Willard Keith Cupp Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Heart City Health Center Inc (9931008380)
17
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Willard Keith Cupp Iii 236 Simpson Ave, Elkhart, Indiana
Zip:
46516-4666
Phone Number:
574-968-2461
Patients can reach Mr. Willard Keith Cupp Iii at 236 Simpson Ave, Elkhart, Indiana or can call to book an appointment on 574-293-0052.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.