Laurel M Wills (NPI# 1962416313, PAC ID# 3577613041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1962416313 |
| PAC ID by PECOS | 3577613041 |
| Professional Enrollment ID | I20090604000465 |
| Full Name | Laurel M Wills |
| Organization Legal Name | NEW KINGDOM PEDIATRICS LLC |
| Address |
6452 City W Pkwy Eden Prairie MN 55344-3245 |
| Phone Number | 9529990333 |
| Gender | F |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7315266806 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6452 City W Pkwy, Eden Prairie, MN 55344-3245 | 9529990333 | NEW KINGDOM PEDIATRICS LLC |
| 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422-4455 | 7632254052 | VOLUNTEER OF AMERICA OF MINNESOTA |
| Organization Legal Name | NEW KINGDOM PEDIATRICS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Crowl | Physician Assistant | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Quincee Lynn Macgibbon | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Stephanie Augustin | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Robert J Zajac | Pediatric Medicine | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Cynthia Lee Voigt | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Katie L Seremet | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Jessica A Fashant-peterson | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Street Address |
6452 CITY W PKWY |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55344-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Crowl | Physician Assistant | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Quincee Lynn Macgibbon | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Stephanie Augustin | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Robert J Zajac | Pediatric Medicine | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Cynthia Lee Voigt | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Katie L Seremet | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Jessica A Fashant-peterson | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas G Frey | Psychologist, Clinical | 7525 Mitchell Rd, Suite 217, Eden Prairie, MN 55344-1957 | |
| Brent Alexander Kvam | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Jordan Boekhout | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Katherine E Kearney-bidwell | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Dillon Andrew Riehle | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Mallory A Skoff | Chiropractic | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 | |
| Adrienne N Castrovinci | Chiropractic | 10125 Crosstown Cir, Suite 115, Eden Prairie, MN 55344-3312 | |
| John Warner Borsheim | Chiropractic | 7114 Shady Oak Rd, Eden Prairie, MN 55344-3517 | |
| Kathleen E Holmes | Qualified Speech Language Pathologist | Innovative Therapy LLC | 7100 Shady Oak Rd, Eden Prairie, MN 55344-3517 |
| Tory M Robson | Chiropractic | Robson Clinic LLC | 7114 Shady Oak Rd, Eden Prairie, MN 55344-3517 |
| Find all physicians in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | EDEN PRAIRIE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Laurel M Wills.
| 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.