Alanah Nicole Gorini Pereira, PA-C
Physician Assistant in Bloomington, IN. Individual provider (NPI-1).
NPI number1760140966
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1760140966
- Entity type
- Individual (NPI-1)
- Name
- Alanah Nicole Gorini Pereira
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2021
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10003463A | IN | Yes |
Other names
- Alanah Nicole Conrad (Former Name)
Practice location
550 S Landmark AveBloomington, IN 47403-3239
Phone 812-353-6900 · Fax 812-355-6912
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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