Kristen Herina (NPI# 1912417569, PAC ID# 1850657248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912417569 |
| PAC ID by PECOS | 1850657248 |
| Professional Enrollment ID | I20171120000076 |
| Full Name | Kristen Herina |
| Organization Legal Name | MERCY HOSPITAL LINCOLN |
| Address |
106 Broadway St 3c Elsberry MO 63343-1345 |
| Phone Number | 5738989100 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193040020 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261319 | LINCOLN COUNTY MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 106 Broadway St, 3c, Elsberry, MO 63343-1345 | 5738989100 | MERCY HOSPITAL LINCOLN |
| Organization Legal Name | MERCY HOSPITAL LINCOLN |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aleasha L Elliott | Nurse Practitioner | Mercy Hospital Lincoln | 35 Winfield Plz, Winfield, MO 63389-3451 |
| David Everett Easterday | Family Medicine | Mercy Hospital Lincoln | 106 Broadway St, 3c, Elsberry, MO 63343-1345 |
| Bradley J Massey | Family Medicine | Mercy Hospital Lincoln | 1003 E Cherry St, Troy, MO 63379-1503 |
| Allan C Genteman | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| James L Bockhorst | Internal Medicine | Mercy Hospital Lincoln | 1165 E Cherry St, Troy, MO 63379-1520 |
| Teresa Ann Condor | Nurse Practitioner | Mercy Hospital Lincoln | 1165 E Cherry St, Troy, MO 63379-1520 |
| Gary W Rucker | Family Medicine | Mercy Hospital Lincoln | 1165 E Cherry St, Troy, MO 63379-1520 |
| Jeremy Talley | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Bhavana Choudhary | Critical Care (intensivists) | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Jessica Rippelmeyer | Nurse Practitioner | Mercy Hospital Lincoln | 1003 E Cherry St, Troy, MO 63379-1503 |
| Street Address |
106 BROADWAY ST 3C |
| City | ELSBERRY |
| State | MO |
| Zip | 63343-1345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Everett Easterday | Family Medicine | Mercy Hospital Lincoln | 106 Broadway St, 3c, Elsberry, MO 63343-1345 |
| City | ELSBERRY |
| Zip Code | 63343 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELSBERRY + NURSE PRACTITIONER |
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| 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.