Jacquelyn Rene Forssberg (NPI# 1043628233, PAC ID# 2264721539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043628233 |
| PAC ID by PECOS | 2264721539 |
| Professional Enrollment ID | I20160510002483 |
| Full Name | Jacquelyn Rene Forssberg |
| Organization Legal Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Address |
200 Commodore St Pratt KS 67124-2903 |
| Phone Number | 6206726476 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355253238 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170027 | PRATT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Commodore St, Pratt, KS 67124-2903 | 6206726476 | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| 420 Country Club Rd, Pratt, KS 67124-3125 | 6206727415 | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Organization Legal Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritchey Susann Simon | Nurse Practitioner | Pratt Regional Medical Center Corporation | 203 Watson St, Suite 300, Pratt, KS 67124-3092 |
| Rachael Dawn Hauser | Internal Medicine | Pratt Regional Medical Center Corporation | 420 Country Club Rd, Pratt, KS 67124-3125 |
| Jason P Wiltshire | General Surgery | Pratt Regional Medical Center Corporation | 124 Commodore St B, Pratt, KS 67124-2995 |
| Todd A Brown | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Denise R Conant | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Mark Green | Psychologist, Clinical | Pratt Regional Medical Center Corporation | 420 Country Club Rd, Pratt, KS 67124-3125 |
| Jacquelyn S Kemmerer | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Galen D Slough | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Scott W Gordon | Podiatry | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Fredrick J Farmer Iii | General Practice | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Street Address |
200 COMMODORE ST |
| City | PRATT |
| State | KS |
| Zip | 67124-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Brown | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Denise R Conant | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Chad M Janzen | Certified Registered Nurse Anesthetist (crna) | 200 Commodore St, Pratt, KS 67124-2903 | |
| Melissa A Moffitt Craft | Certified Registered Nurse Anesthetist (crna) | 200 Commodore St, Pratt, KS 67124-2903 | |
| Jacquelyn S Kemmerer | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Galen D Slough | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Scott W Gordon | Podiatry | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Fredrick J Farmer Iii | General Practice | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Charles Gunnerson | Certified Registered Nurse Anesthetist (crna) | 200 Commodore St, Pratt, KS 67124-2903 | |
| Laura E Ballard | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara N Wallace | Clinical Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | |
| Monica Irene Hendershot | Clinical Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | |
| Travis E Davis | Chiropractic | 122 E 3rd St, Pratt, KS 67124-2710 | |
| William D Eastes | Chiropractic | 223 E, 4th, Pratt, KS 67124-2730 | |
| Mark Bradford Steffen | Anesthesiology | 200 Commodore St, Pratt, KS 67124-2903 | |
| Aaron M Nilhas | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Luis E Espinoza | Obstetrics/gynecology | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Russell Larry Beamer | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Alexander B Neel | Orthopedic Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Daniel J Suiter | Gastroenterology | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Find all physicians in zip 67124 | |||
| City | PRATT |
| Zip Code | 67124 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRATT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacquelyn Rene Forssberg.
| 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.