Jennifer L Peterson (NPI# 1316379597, PAC ID# 2860703279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316379597 |
| PAC ID by PECOS | 2860703279 |
| Professional Enrollment ID | I20150625001016 |
| Full Name | Jennifer L Peterson |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
2749 Sexton Dr Mary Hall Room 001 Collegeville MN 56321 |
| Phone Number | 3202512700 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 601 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 | 3202512700 | CENTRACARE CLINIC |
| Organization Legal Name | CENTRACARE CLINIC |
| Physicians | 630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
| Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
| Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
| Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
| Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
| Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
| Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
| Street Address |
2749 SEXTON DR MARY HALL ROOM 001 |
| City | COLLEGEVILLE |
| State | MN |
| Zip | 56321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda I Bakke | Nurse Practitioner | Centracare Clinic | 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 |
| Patrick J Moser | Nurse Practitioner | Centracare Clinic | 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 |
| Stephanie J Mcgreevy | Nurse Practitioner | Centracare Clinic | 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 |
| Cynthia E Jaffe | Nurse Practitioner | Centracare Clinic | 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 |
| Suzanne Sara Kelly | Nurse Practitioner | Centracare Clinic | 2749 Sexton Dr, Mary Hall Room 001, Collegeville, MN 56321 |
| City | COLLEGEVILLE |
| Zip Code | 56321 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLLEGEVILLE + 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.