Renee L Willer (NPI# 1477530814, PAC ID# 0345264925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477530814 |
| PAC ID by PECOS | 0345264925 |
| Professional Enrollment ID | I20060123000340 |
| Full Name | Renee L Willer |
| Organization Legal Name | LAKE GIRL INC |
| Address |
4581 Gravois Rd House Springs MO 63051-1374 |
| Phone Number | 6366719980 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204057334 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4581 Gravois Rd, House Springs, MO 63051-1374 | 6366719980 | LAKE GIRL INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LAKE GIRL INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather D Krafve | Nurse Practitioner | Lake Girl Inc | 4581 Gravois Rd, House Springs, MO 63051-1374 |
| Street Address |
4581 GRAVOIS RD |
| City | HOUSE SPRINGS |
| State | MO |
| Zip | 63051-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather D Krafve | Nurse Practitioner | Lake Girl Inc | 4581 Gravois Rd, House Springs, MO 63051-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy Murphy | Nurse Practitioner | Hinton Healthcare Group | 100 Osage Executive Circle, Byrnes Mill, MO 63051-1382 |
| Maria Kathleen Mcdonald | Physical Therapy | Prorehab PC | 20 Gravois Sta, House Springs, MO 63051-4348 |
| Serena M Beffa | Physical Therapy | Prorehab PC | 20 Gravois Sta, House Springs, MO 63051-4348 |
| City | HOUSE SPRINGS |
| Zip Code | 63051 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOUSE SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee L Willer.
| 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.