Jennifer Renee Broshears (NPI# 1164805024, PAC ID# 0244547354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164805024 |
| PAC ID by PECOS | 0244547354 |
| Professional Enrollment ID | I20150922000114 |
| Full Name | Jennifer Renee Broshears |
| Organization Legal Name | ST MARYS MEDICAL GROUP LLC |
| Address |
12067 Spurgeon Rd Lynnville IN 47619-8015 |
| Phone Number | 8129225568 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153493341 |
| Number of Group Practice Members | 216 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151325 | ST. MARY'S WARRICK HOSPITAL INC |
| 150100 | ST. MARY'S HEALTH, INC. |
| Address | Phone | Organization |
|---|---|---|
| 801 Saint Marys Dr, 505e, Evansville, IN 47714-0528 | 8124913236 | ST MARYS MEDICAL GROUP LLC |
| 12067 Spurgeon Rd, Lynnville, IN 47619-8015 | 8129225568 | ST MARYS MEDICAL GROUP LLC |
| Organization Legal Name | ST MARYS MEDICAL GROUP LLC |
| Physicians | 226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan Yunfang Hou | Physical Medicine and Rehabilitation | St Marys Medical Group LLC | 516 Court St, A, Evansville, IN 47708-1340 |
| Blaine Christine Campbell | Obstetrics/gynecology | St Marys Medical Group LLC | 100 S Rosenberger Ave, Suite B300, Evansville, IN 47712-6508 |
| Katherine Naomi Lazet | Family Medicine | St Marys Medical Group LLC | 8077 Rose Hill Dr, Newburgh, IN 47630-2811 |
| Kirby Ann Schmahlenberger | Nurse Practitioner | St Marys Medical Group LLC | 2345 W Franklin St, Suite 201, Evansville, IN 47712-5104 |
| Sarah M Voelkel | Podiatry | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Amy N Shelton | Nurse Practitioner | St Marys Medical Group LLC | 920 S Hebron Ave, Evansville, IN 47714-4086 |
| Susan Lynn Greenwell | Nurse Practitioner | St Marys Medical Group LLC | 151 N Gardenmile Rd, Henderson, KY 42420-5543 |
| Suzanne Mk Bersch | Nurse Practitioner | St Marys Medical Group LLC | 1332 Lincoln Ave, Evansville, IN 47714-1516 |
| David E Utley | Family Medicine | St Marys Medical Group LLC | 835 S 9th Ave, Haubstadt, IN 47639-8244 |
| Kausalya Chilukuri | Family Medicine | St Marys Medical Group LLC | 4166 Wyntree Dr, Newburgh, IN 47630-2521 |
| Street Address |
12067 SPURGEON RD |
| City | LYNNVILLE |
| State | IN |
| Zip | 47619-8015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Barnett | Family Medicine | St Marys Medical Group LLC | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 |
| Cassandra L Heile | Nurse Practitioner | St Marys Medical Group LLC | 12067 Spurgeon Rd, Lynnville, IN 47619-8015 |
| City | LYNNVILLE |
| Zip Code | 47619 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LYNNVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Renee Broshears.
| 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.