Kirsten S Johanson (NPI# 1770882219, PAC ID# 1658559828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770882219 |
| PAC ID by PECOS | 1658559828 |
| Professional Enrollment ID | I20110617000517 |
| Full Name | Kirsten S Johanson |
| Organization Legal Name | THE MONROE CLINIC INC |
| Address |
400 S Ctr St Durand IL 61024-9590 |
| Phone Number | 8152483443 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072425495 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520028 | THE MONROE CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 400 S Ctr St, Durand, IL 61024-9590 | 8152483443 | THE MONROE CLINIC INC |
| 1301 Kiwanis Dr, Freeport, IL 61032-6907 | 8152351406 | THE MONROE CLINIC INC |
| 515 22nd Ave, Monroe, WI 53566-1569 | 6083242000 | THE MONROE CLINIC INC |
| Organization Legal Name | THE MONROE CLINIC INC |
| Physicians | 146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Simpson | Nurse Practitioner | The Monroe Clinic Inc | 515 22nd Ave, Monroe, WI 53566-1569 |
| Julio A Delgadillo | Nurse Practitioner | The Monroe Clinic Inc | 214 N Schuyler St, Lena, IL 61048-9729 |
| Lori F Phelps | Psychologist, Clinical | The Monroe Clinic Inc | 2009 5th St, Monroe, WI 53566-1546 |
| Robert M Bandera | Family Medicine | The Monroe Clinic Inc | 1301 Kiwanis Dr, Freeport, IL 61032-6907 |
| Jeffrey J James | Optometry | The Monroe Clinic Inc | 1110 S Park Blvd, Freeport, IL 61032-4659 |
| Steven L Mischka | Nurse Practitioner | The Monroe Clinic Inc | 1904 1st Ctr Ave, Brodhead, WI 53520-1900 |
| Kansas L Dubray | Internal Medicine | The Monroe Clinic Inc | 515 22nd Ave, Monroe, WI 53566-1569 |
| Suzanne Marie Curtiss | Nurse Practitioner | The Monroe Clinic Inc | 515 22nd Ave, Monroe, WI 53566-1569 |
| Matthew M Michalski | Emergency Medicine | The Monroe Clinic Inc | 515 22nd Ave, Monroe, WI 53566-1569 |
| Natalie L Seibert | Physician Assistant | The Monroe Clinic Inc | 515 22nd Ave, Monroe, WI 53566-1569 |
| Street Address |
400 S CTR ST |
| City | DURAND |
| State | IL |
| Zip | 61024-9590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa D Parshall | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 400 S Ctr St, Shelbina, MO 63468-1404 |
| Timothy J Hamel | Family Medicine | The Monroe Clinic Inc | 400 S Ctr St, Durand, IL 61024-9590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Syverson | Podiatry | 402 Ctr St, Durand, IL 61024-9590 |
| City | DURAND |
| Zip Code | 61024 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DURAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kirsten S Johanson.
| 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.