Jacquelyn E Boan (NPI# 1063454452, PAC ID# 1355302738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063454452 |
| PAC ID by PECOS | 1355302738 |
| Professional Enrollment ID | I20041019001257 |
| Full Name | Jacquelyn E Boan |
| Organization Legal Name | CARESPOT PROFESSIONAL SERVICES LLC |
| Address |
9490 E State Route 350 Raytown MO 64133 |
| Phone Number | 8162564089 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305089962 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260193 | ST MARY'S MEDICAL CENTER |
| 260095 | CENTERPOINT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9490 E State Route 350, Raytown, MO 64133 | 8162564089 | CARESPOT PROFESSIONAL SERVICES LLC |
| Organization Legal Name | CARESPOT PROFESSIONAL SERVICES LLC |
| Physicians | 1 |
| Street Address |
9490 E STATE ROUTE 350 |
| City | RAYTOWN |
| State | MO |
| Zip | 64133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Anderson | Family Medicine | Kansas Carenow Urgent Care LLC | 9490 E State Route 350, Carenow, Raytown, MO 64133-6509 |
| Alicia D Tschirhart | Nurse Practitioner | Kansas Carenow Urgent Care LLC | 9490 E State Route 350, Raytown, MO 64133-6509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Daniel Jagger | Physical Therapy | Serc Rehabilitation Partners LLC | 4277 Sterling Ave, Raytown, MO 64133-1351 |
| Megan Ann-melugin Roberts | Physical Therapy | Serc Rehabilitation Partners LLC | 4277 Sterling Ave, Raytown, MO 64133-1351 |
| Lara B Johnson | Clinical Social Worker | 4240 Blue Ridge Blvd, Suite 434, Kansas City, MO 64133-1713 | |
| Steven M Silverstein | Ophthalmology | Silverstein Eye Centers PC | 4240 Blue Ridge Blvd, Suite 1000, Kansas City, MO 64133-1754 |
| Timothy M Stout | Ophthalmology | Silverstein Eye Centers PC | 4240 Blue Ridge Blvd, Suite 1000, Kansas City, MO 64133-1754 |
| Jeff Leroy Lookhart | Optometry | Silverstein Eye Centers PC | 4240 Blue Ridge Blvd, Suite 1000, Kansas City, MO 64133-1754 |
| Kevin Andrew Scanlon | Chiropractic | 4307 Blue Ridge Blvd, Kansas City, MO 64133-2026 | |
| Sudha T Chaudhuri | Obstetrics/gynecology | 6225 Raytown Trfy, Raytown, MO 64133-3846 | |
| Tapan K Chaudhuri | Internal Medicine | 6225 Raytown Trfy, Raytown, MO 64133-3846 | |
| Jessica Agudelo | Clinical Social Worker | The Luminaries Project LLC | 8801 E 63rd St, 101 Ctr for Healing and Revovery, Raytown, MO 64133-4865 |
| Find all physicians in zip 64133 | |||
| City | RAYTOWN |
| Zip Code | 64133 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RAYTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacquelyn E Boan.
| 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.