Sandra Dee Peasley (NPI# 1316958127, PAC ID# 2163416116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316958127 |
| PAC ID by PECOS | 2163416116 |
| Professional Enrollment ID | I20100125000829 |
| Full Name | Sandra Dee Peasley |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Address |
2819 Great Northern Loop 200 Sph Mt Int Med Missoula MT 59808-1750 |
| Phone Number | 4065431197 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608786306 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST. PATRICK HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 270023 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2819 Great Northern Loop, 200 Sph Mt Int Med, Missoula, MT 59808-1750 | 4065431197 | PROVIDENCE HEALTH AND SERVICES MT |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Physicians | 215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noor Alain Bass | Family Medicine | Providence Health and Services Mt | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3103 |
| Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
| Akaash Forrest Acharya | Internal Medicine | Providence Health and Services Mt | 902 N Orange St 4th Fl, Inpatient Rehab, Missoula, MT 59802-2998 |
| Carin Dougherty | Physician Assistant | Providence Health and Services Mt | 401 W Pennsylvania St, Comm Hosp of Anaconda, Anaconda, MT 59711-1931 |
| Nicole Diane Pfeifer | Nurse Practitioner | Providence Health and Services Mt | 4720 23rd Ave, Missoula, MT 59803-1137 |
| Emily A Cote | Nurse Practitioner | Providence Health and Services Mt | 5549 Old Us Hwy 93, Florence, MT 59833-6545 |
| Tina M Barker | Nurse Practitioner | Providence Health and Services Mt | 500 W Broadway St 5th Fl, Trauma Services, Missoula, MT 59802-4096 |
| Kevin M Sheehan | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St 4th Floor, Providence Broadway Int Med, Missoula, MT 59802-4096 |
| John A Willoughby | Psychiatry | Providence Health and Services Mt | 900 N Orange St, 202 Providence Psychiatry, Missoula, MT 59802-2951 |
| Rebecca B Hoover | Family Medicine | Providence Health and Services Mt | 621 W Alder, Pmg Mt Missoula Family Medical, Missoula, MT 59802-4014 |
| Street Address |
2819 GREAT NORTHERN LOOP 200 SPH MT INT MED |
| City | MISSOULA |
| State | MT |
| Zip | 59808-1750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karli Jean Vaculik | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Mariah Scott | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Lisa Michelle Bakker | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Erik Digby | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Chester D Wright | Internal Medicine | Providence Health and Services Mt | 2819 Great Northern Loop, 200 Sph Mt Int Med, Missoula, MT 59808-1750 |
| Kate M Skinner | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Catherine J Kohler | Physical Therapy | Great Divide Physical Therapy LLC | 2819 Great Northern Loop, Suite 300, Missoula, MT 59808-1750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Devin Redshaw | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Karl Roy Westenfelder | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Kevin M Kronner | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Whitney C Martin | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Richard L Wiesemann | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Christopher George Wicher | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Garrick Richard Simmons | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| David I Croteau | Family Medicine | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Karin M Johns | Physician Assistant | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Kelly Marie Gregory | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Find all physicians in zip 59808 | |||
| City | MISSOULA |
| Zip Code | 59808 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MISSOULA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Dee Peasley.
| 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.