Melissa L Stenstrom (NPI# 1477745255, PAC ID# 0143418228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1477745255 |
| PAC ID by PECOS | 0143418228 |
| Professional Enrollment ID | I20101216000746 |
| Full Name | Melissa L Stenstrom |
| Organization Legal Name | SURGICAL SERVICES OF ILLINOIS, SC |
| Address |
1235 N Mulford Rd Suite 205 Rockford IL 61107-3879 |
| Phone Number | 8154849900 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3072655687 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140228 | SWEDISH AMERICAN HOSPITAL |
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 | 8154849900 | SURGICAL SERVICES OF ILLINOIS, SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 99% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 26% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | SURGICAL SERVICES OF ILLINOIS, SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryn Maxine Byers Krause | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Andrew I Jun | Otolaryngology | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Lori A Schultz | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Street Address |
1235 N MULFORD RD SUITE 205 |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Minore | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Bryn Maxine Byers Krause | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Andrew J Blint | Orthopedic Surgery | 1235 N Mulford Rd, Suite 103, Rockford, IL 61107-3879 | |
| Susan Mary Fowell | Ophthalmology | 1235 N Mulford Rd, Rockford, IL 61107-3879 | |
| Andrew I Jun | Otolaryngology | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Azhar M Kothawala | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Lori A Schultz | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Peggy W Shiels | Internal Medicine | Jack W. Lenox, Ltd | 1235 N Mulford Rd, Rockford, IL 61107-3879 |
| Lucy W Martin | Nurse Practitioner | Jack W. Lenox, Ltd | 1235 N Mulford Rd, Suite 200, Rockford, IL 61107-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | DERMATOLOGY |
| City + Specialty | ROCKFORD + DERMATOLOGY |
Please comment or provide details below to improve the information on Melissa L Stenstrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.