Heather Petersen (NPI# 1841660180, PAC ID# 0648572255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841660180 |
| PAC ID by PECOS | 0648572255 |
| Professional Enrollment ID | I20160113001050 |
| Full Name | Heather Petersen |
| Organization Legal Name | JASON MARTIN MEDICAL CONSULTING LLC |
| Address |
2100 S Lakeline Blvd Cedar Ridge Alzheimer's Special Care Cedar Park TX 78613-3994 |
| Phone Number | 5122986762 |
| Gender | F |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325289812 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2100 S Lakeline Blvd, Cedar Ridge Alzheimer's Special Care, Cedar Park, TX 78613-3994 | 5122986762 | JASON MARTIN MEDICAL CONSULTING LLC |
| 800 C-bar Ranch Rd, Cedar Park, TX 78613-7587 | 5126879204 | JASON MARTIN MEDICAL CONSULTING LLC |
| 1373 N Ave C, Elgin Nursing and Rehabilitation Ce, Elgin, TX 78621-1528 | 5128401158 | JASON MARTIN MEDICAL CONSULTING LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | JASON MARTIN MEDICAL CONSULTING LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olaf Russell Garcia | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Sabah Ali | Physician Assistant | Jason Martin Medical Consulting LLC | 1373 N Ave C, Elgin Nursing and Rehabilitation Ce, Elgin, TX 78621-1528 |
| Anu Sara Kurian | Nurse Practitioner | Jason Martin Medical Consulting LLC | 1400 Hesters Crossing Rd, Round Rock, TX 78681-8025 |
| James Ray Brown | Family Medicine | Jason Martin Medical Consulting LLC | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 |
| Berril Joseph | Nurse Practitioner | Jason Martin Medical Consulting LLC | 2100 S Lakeline Blvd, Cedar Ridge Alzheimer's Special Care, Cedar Park, TX 78613-3994 |
| Sherri Lyn Cook-rousey | Nurse Practitioner | Jason Martin Medical Consulting LLC | 5301 Duval Rd, Austin, TX 78727-6618 |
| Nan J Jordan | Nurse Practitioner | Jason Martin Medical Consulting LLC | 430 Old Austin Hwy, Bastrop, TX 78602-5168 |
| Cassandra Hollifield | Physician Assistant | Jason Martin Medical Consulting LLC | 800 C-bar Ranch Rd, Cedar Park, TX 78613-7587 |
| Cara K Goble | Nurse Practitioner | Jason Martin Medical Consulting LLC | 1400 Hesters Crossing Rd, Round Rock, TX 78681-8025 |
| Mary Okiomah | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Street Address |
2100 S LAKELINE BLVD CEDAR RIDGE ALZHEIMER'S SPECIAL CARE |
| City | CEDAR PARK |
| State | TX |
| Zip | 78613-3994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Berril Joseph | Nurse Practitioner | Jason Martin Medical Consulting LLC | 2100 S Lakeline Blvd, Cedar Ridge Alzheimer's Special Care, Cedar Park, TX 78613-3994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samira F Alejos | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Brenda Katz Cohen | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Natalia Temboni Caraballo | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Jonathan G Smedley | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Jeffrey Raymond Cohen | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Ryan Patrick Shock | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Quang D Nguyen | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Angela M Adkins | Optometry | 1335 E Whitestone Blvd, E150, Cedar Park, TX 78613-0011 | |
| Matthew Cody Lubeck | Optometry | Lakeline Eyecare Pllc | 11200 Lakeline Mall Dr, Suite E5, Cedar Park, TX 78613-1504 |
| Christie J Powell | Physical Therapy | Champion Performance Physical Therapy, PC | 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 |
| Find all physicians in zip 78613 | |||
| City | CEDAR PARK |
| Zip Code | 78613 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CEDAR PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather Petersen.
| 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.