Active NPI 1669436366 Individual Practitioner Female Practitioner

Karla D Hostetler , APRN

Nurse Practitioner • Newton, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Karla Hostetler, APRN is a certified Nurse Practitioner practicing in Newton, KS. With approximately 22 years of clinical experience since completing medical education in 2004, Karla Hostetler delivers high-quality medical care to the local community at 720 MEDICAL CENTER DR.

Karla Hostetler is affiliated with Newton Healthcare Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, injection, methylprednisolone acetate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

720 Medical Center Dr

Newton, KS 671148778

Telephone 3162845155

Fax 3162845110

Associated Practice Facility / Clinic

🏢 Via Christi Clinic, Pa Facility NPI 1568574028

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newton, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +4.7 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 12.6 Yrs

Regional Practice Density

16 Specialists

Practicing in Newton, KS (1395 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hostetler (22 Years) 22 Yrs

Newton Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,860	20	$23.00	$22.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	846	278	$170.00	$99.61
J1010 Injection, methylprednisolone acetate, 1 mg	760	18	$0.55	$0.12
36415 Insertion of needle into vein for collection of blood sample	561	247	$18.00	$8.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	269	47	$178.00	$84.34
99213 Established patient office or other outpatient visit, typically 15 minutes	199	141	$147.00	$70.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$175.00	$100.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	128	39	$42.00	$11.14
81003 Automated urinalysis test	113	83	$13.00	$2.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg	80	17	$8.00	$0.11
17000 Destruction of skin growth	68	58	$126.00	$47.35
90662 Influenza vaccine split virus, preservative free	67	66	$100.00	$80.79
G0008 Administration of influenza virus vaccine	67	66	$37.00	$29.94
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	65	65	$300.00	$288.83
G0009 Administration of pneumococcal vaccine	64	64	$25.00	$24.50
17003 Destruction of precancer skin growth, 2-14 growths	63	47	$38.00	$5.14
71046 X-ray of chest, 2 views	56	41	$42.00	$20.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	26	$136.00	$58.37
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	39	12	$250.00	$99.73
74018 X-ray of abdomen, 1 view	30	21	$33.00	$19.05
69209 Removal of impacted ear wax by washing	27	25	$68.00	$10.68
20610 Aspiration and/or injection of fluid from large joint	25	21	$191.36	$46.62
72100 X-ray of lower and sacral spine, 2-3 views	22	20	$45.00	$25.84
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	18	16	$175.00	$139.78
73502 X-ray of hip, 2-3 views	17	17	$47.40	$32.65
73030 X-ray of shoulder, minimum of 2 views	16	15	$38.40	$21.91
17110 Destruction of up to 14 skin growths	16	15	$200.00	$84.45
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$70.00	$11.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$175.00	$129.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,980	20	$23.00	$22.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	776	249	$169.23	$100.96
36415 Insertion of needle into vein for collection of blood sample	496	223	$18.00	$8.37
99213 Established patient office or other outpatient visit, typically 15 minutes	222	137	$144.23	$71.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	181	39	$178.00	$85.40
17003 Destruction of precancer skin growth, 2-14 growths	180	36	$38.00	$5.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$175.00	$102.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	130	38	$42.00	$11.23
81003 Automated urinalysis test	110	74	$13.00	$2.18
G0444 Annual depression screening, 5 to 15 minutes	79	79	$25.00	$14.57
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	79	79	$300.00	$271.84
G0009 Administration of pneumococcal vaccine	77	76	$25.00	$24.50
17000 Destruction of skin growth	68	52	$126.00	$46.05
71046 X-ray of chest, 2 views	65	46	$42.43	$20.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	58	30	$136.00	$59.34
G0008 Administration of influenza virus vaccine	53	52	$37.00	$28.60
90662 Influenza vaccine split virus, preservative free	52	51	$100.00	$71.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	48	12	$8.00	$0.12
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$70.00	$11.29
J1030 Injection, methylprednisolone acetate, 40 mg	30	20	$22.00	$7.69
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	25	23	$55.00	$34.62
20610 Aspiration and/or injection of fluid from large joint	24	16	$199.33	$52.92
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	19	19	$30.00	$17.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$222.00	$141.08
11102 Tangential biopsy of single skin lesion	15	14	$200.00	$72.00
74018 X-ray of abdomen, 1 view	14	12	$33.00	$19.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$185.00	$131.73
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$45.00	$26.69
99495 Transitional care management services for problem of at least moderate complexity	11	11	$329.00	$162.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,140	15	$23.00	$21.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	243	$165.00	$100.50
36415 Insertion of needle into vein for collection of blood sample	469	235	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	290	158	$121.55	$71.51
17003 Destruction of precancer skin growth, 2-14 growths	141	34	$38.00	$5.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$175.00	$104.69
G0444 Annual depression screening, 5 to 15 minutes	130	130	$25.00	$14.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	27	$42.00	$11.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	78	26	$178.00	$72.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	12	$7.00	$1.16
81003 Automated urinalysis test	70	53	$13.00	$2.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	24	$136.00	$54.65
17000 Destruction of skin growth	60	48	$126.00	$49.35
G0008 Administration of influenza virus vaccine	56	56	$37.00	$27.45
90662 Influenza vaccine split virus, preservative free	54	54	$97.41	$67.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	38	$70.00	$44.37
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$50.00	$16.43
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	38	34	$55.00	$34.99
71046 X-ray of chest, 2 views	29	26	$42.00	$19.92
93000 Routine ekg using at least 12 leads including interpretation and report	26	21	$70.00	$11.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$222.00	$143.89
G0009 Administration of pneumococcal vaccine	21	21	$25.00	$24.64
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$300.00	$277.71
20610 Aspiration and/or injection of fluid from large joint	13	12	$212.31	$55.15
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$188.00	$75.81
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	12	12	$30.00	$16.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	210	$165.00	$103.55
36415 Insertion of needle into vein for collection of blood sample	387	184	$18.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	231	139	$112.00	$72.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	129	36	$136.00	$55.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$175.00	$107.23
85610 Blood test, clotting time	91	12	$20.00	$4.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	83	27	$178.00	$73.51
81003 Automated urinalysis test	76	59	$13.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	13	$42.00	$11.42
G0008 Administration of influenza virus vaccine	58	58	$37.00	$15.91
90662 Influenza vaccine split virus, preservative free	56	56	$65.00	$63.77
17003 Destruction of precancer skin growth, 2-14 growths	45	11	$38.00	$5.24
71046 X-ray of chest, 2 views	45	35	$42.00	$18.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	33	$222.00	$146.06
G0444 Annual depression screening, 5 to 15 minutes	36	36	$25.00	$14.98
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$70.00	$11.82
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	26	$55.00	$35.33
17000 Destruction of skin growth	25	24	$126.00	$51.00
99318 Nursing facility annual assessment, typically 30 minutes	20	20	$188.00	$77.22
74018 X-ray of abdomen, 1 view	15	13	$33.00	$17.90
G0009 Administration of pneumococcal vaccine	12	12	$25.00	$15.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	186	$165.00	$86.93
36415 Insertion of needle into vein for collection of blood sample	346	159	$18.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	266	161	$112.00	$59.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	221	38	$136.00	$56.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$175.00	$94.53
85610 Blood test, clotting time	70	13	$20.00	$4.26
81003 Automated urinalysis test	67	55	$13.00	$2.22
G0008 Administration of influenza virus vaccine	51	51	$37.00	$15.86
90662 Influenza vaccine split virus, preservative free	46	46	$64.35	$59.35
71046 X-ray of chest, 2 views	35	32	$42.00	$18.23
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$70.00	$13.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	30	21	$88.00	$36.27
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$80.00	$15.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	18	$178.00	$75.33
17000 Destruction of skin growth	26	20	$126.00	$49.81
G0009 Administration of pneumococcal vaccine	18	18	$25.00	$15.80
69209 Removal of impacted ear wax by washing	15	12	$68.00	$10.72
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$55.00	$35.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$120.00	$117.92
11104 Punch biopsy, first skin growth	12	12	$256.00	$101.33
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$30.00	$17.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	550	207	$165.00	$85.84
36415 Insertion of needle into vein for collection of blood sample	387	164	$18.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	366	210	$112.00	$59.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	162	48	$136.00	$56.21
17003 Destruction of precancer skin growth, 2-14 growths	132	20	$38.00	$4.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	30	$41.51	$13.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	39	$178.00	$74.75
81003 Automated urinalysis test	66	56	$13.00	$2.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$154.62	$93.80
G0008 Administration of influenza virus vaccine	49	49	$37.00	$15.55
90662 Influenza vaccine split virus, preservative free	44	44	$54.89	$53.79
93000 Routine ekg using at least 12 leads including interpretation and report	36	31	$70.00	$13.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	17	$88.00	$35.95
17000 Destruction of skin growth	28	22	$126.00	$48.45
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$74.29	$16.22
G0009 Administration of pneumococcal vaccine	25	24	$25.00	$15.55
71046 X-ray of chest, 2 views	22	19	$42.00	$17.49
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$120.00	$106.02
69209 Removal of impacted ear wax by washing	20	17	$68.00	$10.45
J1030 Injection, methylprednisolone acetate, 40 mg	12	12	$22.00	$5.82
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$188.00	$78.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	514	214	$165.00	$85.51
36415 Insertion of needle into vein for collection of blood sample	453	204	$18.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	359	226	$112.00	$57.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	39	$178.00	$73.47
17003 Destruction of precancer skin growth, 2-14 growths	116	16	$38.00	$4.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	105	43	$136.00	$56.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	23	$36.00	$16.30
85610 Blood test, clotting time	77	14	$20.00	$4.75
81003 Automated urinalysis test	76	60	$13.00	$2.69
90662 Influenza vaccine split virus, preservative free	70	69	$40.00	$39.20
G0008 Administration of influenza virus vaccine	69	68	$37.00	$19.07
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	60	52	$26.00	$9.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$150.00	$93.54
83036 Hemoglobin A1C level	37	33	$40.00	$11.75
G0009 Administration of pneumococcal vaccine	37	37	$25.00	$19.07
17000 Destruction of skin growth	35	28	$126.00	$50.34
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$70.00	$13.26
90670 Pneumococcal vaccine for injection into muscle	18	18	$185.00	$181.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$100.00	$92.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	16	15	$60.00	$15.56
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$188.00	$78.50
J1030 Injection, methylprednisolone acetate, 40 mg	11	11	$22.00	$6.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	252	$155.47	$85.38
99213 Established patient office or other outpatient visit, typically 15 minutes	261	194	$106.20	$58.29
36415 Insertion of needle into vein for collection of blood sample	160	112	$18.00	$2.91
G0008 Administration of influenza virus vaccine	55	55	$36.27	$23.43
90662 Influenza vaccine split virus, preservative free	54	54	$40.00	$38.47
17003 Destruction of precancer skin growth, 2-14 growths	48	14	$37.42	$4.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	25	$178.00	$73.79
71020 X-ray of chest, 2 views, front and side	47	39	$41.11	$15.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	45	39	$27.78	$6.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	26	$136.00	$55.68
G0009 Administration of pneumococcal vaccine	37	37	$26.14	$23.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	17	$41.88	$19.99
83036 Hemoglobin A1C level	27	23	$40.00	$12.70
90670 Pneumococcal vaccine for injection into muscle	23	23	$187.61	$181.45
81003 Automated urinalysis test	20	17	$16.50	$3.02
17000 Destruction of skin growth	19	18	$129.42	$48.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$100.43	$96.25

Medical Specialties & State Licenses

CMS Verified: 2025-02-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 45657

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ks License

45657 (KS)

Hospital & Practice Group Affiliations

Newton Healthcare Corporation

118 E 12th St, Newton, KS 671141931

Phone: 3162819700

Secondary Practice Locations

245 N Waco St Ste 220

Wichita, KS 672021102

Phone: 3167222138

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Dwight Wheeler , MD

Internal Medicine

NPI 1134138308

Doctor of Medicine (M.D.)

Dr. Leslie Luinstra , MD

Family Medicine

NPI 1144265992

Doctor of Medicine (M.D.)

Pamela Willis-Brown , NP

Nurse Practitioner - Family

NPI 1306843909

Nurse Practitioner

Elizabeth Claassen , PA

Physician Assistant

NPI 1760493720

Physician Assistant

Dr. Ronald Stevens , MD

Family Medicine

NPI 1952338360

Doctor of Medicine (M.D.)

Tina Wuthnow , PA

Physician Assistant

NPI 1982613071

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2012

Registered at 720 MEDICAL CENTER DR, NEWTON, KS 671148778 (Tel: 3162845155)

📍

Updated Business Mailing Address February 23, 2012

Registered at PO BOX 8035, WICHITA, KS 672080035 (Tel: 3166899135)

👤

Provider Name / Credentials Updated February 23, 2012

Recorded as KARLA HOSTETLER, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2012

Nurse Practitioner (License #45657 in KS)

🟢

Initial NPI Registration & Enumeration April 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669436366

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2006

Last Update: February 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8035

Wichita, KS 672080035

Phone: 3166899135

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.