Jessie Jean Laack (NPI# 1811410871, PAC ID# 0648542043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811410871 |
| PAC ID by PECOS | 0648542043 |
| Professional Enrollment ID | I20170820000000 |
| Full Name | Jessie Jean Laack |
| Organization Legal Name | CARSON MEDICAL GROUP PROFESSIONAL CORPORATION |
| Address |
1200 Mountain St Carson City NV 89703-3821 |
| Phone Number | 7758821324 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183520778 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1200 Mountain St, Carson City, NV 89703-3821 | 7758821324 | CARSON MEDICAL GROUP PROFESSIONAL CORPORATION |
| Organization Legal Name | CARSON MEDICAL GROUP PROFESSIONAL CORPORATION |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilfredo A Torres | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1475 Medical Pkwy, Carson City, NV 89703-4635 |
| Timothy G Gentner | Family Medicine | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Caroline Guadiz Habaradas | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Emanuella Pomerlyan | Nurse Practitioner | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Steven Arcangeli | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Philip S. Schlager | Otolaryngology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Heidi Oberhansli | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1475 Medical Pkwy, Carson City, NV 89703-4635 |
| Timothy Charles Mcfarren | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1475 Medical Pkwy, Carson City, NV 89703-4635 |
| Danielle A Grate | Physician Assistant | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Patrick Walter Gunn | Pediatric Medicine | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Street Address |
1200 MOUNTAIN ST |
| City | CARSON CITY |
| State | NV |
| Zip | 89703-3821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Gentner | Family Medicine | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Caroline Guadiz Habaradas | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Emanuella Pomerlyan | Nurse Practitioner | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Steven Arcangeli | Obstetrics/gynecology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Philip S. Schlager | Otolaryngology | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Danielle A Grate | Physician Assistant | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Patrick Walter Gunn | Pediatric Medicine | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Jeffrey W Sanders | Family Medicine | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Lauren D Taylor | Physician Assistant | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Amy Jernigan | Nurse Practitioner | Carson Medical Group Professional Corporation | 1200 Mountain St, Carson City, NV 89703-3821 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail P Krivan | Physical Medicine and Rehabilitation | 1600 Med Pkwy, Carson City, NV 89703 | |
| Corinne Marie Holmes | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Christina Marie Taylor | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Martine G Hutton | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Erin G Pasley | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Melinda L Vicencio | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Carson City, NV 89703-1500 |
| Julie Irene Erb Lundergreen | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Kent W Gabriel | Hand Surgery | 704 W Nye Ln, Suite 102, Carson City, NV 89703-1569 | |
| Nanci H Campbell | Qualified Audiologist | 844 W Nye Ln, Suite 203, Carson City, NV 89703-1570 | |
| Stephen Palazzolo | Optometry | 844 W Nye Ln, Suite 104, Carson City, NV 89703-1571 | |
| Find all physicians in zip 89703 | |||
| City | CARSON CITY |
| Zip Code | 89703 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessie Jean Laack.
| 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.