Jill K Erlenbusch (NPI# 1891028288, PAC ID# 1658594841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891028288 |
| PAC ID by PECOS | 1658594841 |
| Professional Enrollment ID | I20140515000537 |
| Full Name | Jill K Erlenbusch |
| Organization Legal Name | METAMORPHOSIS LTD |
| Address |
1338 Phay Ave Canon City CO 81212-2302 |
| Phone Number | 7192852000 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456573427 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 1338 Phay Ave, Canon City, CO 81212-2302 | 7192852000 | METAMORPHOSIS LTD |
| Organization Legal Name | METAMORPHOSIS LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gia Regine Forbes | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 2140 Hollow Brook Dr, Suite 110, Colorado Springs, CO 80918-1489 |
| Susan K Frady | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael S Mohr | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Lisa G Pearson | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Robert J Howell | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael P Rucker | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Dante O Langston | Physician Assistant | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Street Address |
1338 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip | 81212-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick M Workman | Internal Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| William L Elzi | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | |
| Charmayne Noel Sandoval | Clinical Social Worker | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Solon L Rosenblatt | Orthopedic Surgery | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Tracey Rafuse | Nurse Practitioner | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Nathan Gasper | Nurse Practitioner | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Jason Pfaffly | Family Medicine | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Keith P Minihane | Orthopedic Surgery | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Kasey Scott Mccreight | Family Medicine | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Tyler William Randall | Nurse Practitioner | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Brown | General Surgery | 933 A Sell Ave, Canon City, CO 81212-1292 | |
| Michael V Christiansen | Chiropractic | 760 Piedra Dr, Canon City, CO 81212-2251 | |
| Christopher J Buchanan | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | |
| Dante O Langston | Physician Assistant | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Morgan Kizzar | Podiatry | 1338 Phay Ave, Canon City, CO 81212-2311 | |
| Daniel John Wandsneider | Family Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| George W Scudella | Clinical Social Worker | 615 N 15th St, Canon City, CO 81212-2313 | |
| Mohammad A Bakkar | General Surgery | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Gary Wu | Obstetrics/gynecology | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Valerie Schauer | Nurse Practitioner | Catholic Health Initiatives Colorado | 1338 Phay Ave, Bldg D, Canon City, CO 81212-2326 |
| Find all physicians in zip 81212 | |||
| City | CANON CITY |
| Zip Code | 81212 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill K Erlenbusch.
| 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.