Kristin M Stevens (NPI# 1962882696, PAC ID# 0648584243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962882696 |
| PAC ID by PECOS | 0648584243 |
| Professional Enrollment ID | I20150727001483 |
| Full Name | Kristin M Stevens |
| Organization Legal Name | INTEGRATED WOUND CARE MINNESOTA PLLC |
| Address |
7700 Grand Ave Duluth MN 55807-2154 |
| Phone Number | 7187056010 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769722511 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7700 Grand Ave, Duluth, MN 55807-2154 | 7187056010 | INTEGRATED WOUND CARE MINNESOTA PLLC |
| 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 9529923581 | MEDICA HEALTH MANAGEMENT LLC |
| Organization Legal Name | INTEGRATED WOUND CARE MINNESOTA PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hudson M Omweri | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kara L Fausch | Family Medicine | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Sarah E Blanshan | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Stephanie J Garofalo | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kimberly K Grob | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Mary E Jaeger | Certified Clinical Nurse Specialist (cns) | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Street Address |
7700 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip | 55807-2154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hudson M Omweri | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kara L Fausch | Family Medicine | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Sarah E Blanshan | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Stephanie J Garofalo | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kimberly K Grob | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Mary E Jaeger | Certified Clinical Nurse Specialist (cns) | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Sundberg | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Joel M Harris | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Norman D Radtke | Physical Therapy | 215 N Central Ave, Suite 14b, Duluth, MN 55807-2473 | |
| Steven N Lukovsky | Chiropractic | 5602 Grand Ave, Duluth, MN 55807-2540 | |
| Whitney Page Lauer | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Martin J Theobald | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Teresa F Theobald | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Richard Hoch Cochrane | Anesthesiology | The Duluth Clinic Ltd | 400 N 53rd Ave W, Duluth, MN 55807-2668 |
| Gerald J Bellehumeur | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 400 N 53rd Ave W, Duluth, MN 55807-2668 |
| Mary Ling Mok Moreno | Endocrinology | The Duluth Clinic Ltd | 400 N 53rd Ave W, Duluth, MN 55807-2668 |
| Find all physicians in zip 55807 | |||
| City | DULUTH |
| Zip Code | 55807 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DULUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristin M Stevens.
| 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.