Jenna M Gross (NPI# 1629451869, PAC ID# 4981912383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629451869 |
| PAC ID by PECOS | 4981912383 |
| Professional Enrollment ID | I20160209001235 |
| Full Name | Jenna M Gross |
| Organization Legal Name | CENTER FOR PAIN MANAGEMENT, P.A. |
| Address |
2300 24th Nwst Suite 101 Bemidji MN 56601-6379 |
| Phone Number | 2184442624 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820008832 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240100 | SANFORD MEDICAL CENTER BEMIDJI |
| Address | Phone | Organization |
|---|---|---|
| 2300 24th Nwst, Suite 101, Bemidji, MN 56601-6379 | 2184442624 | CENTER FOR PAIN MANAGEMENT, P.A. |
| Organization Legal Name | CENTER FOR PAIN MANAGEMENT, P.A. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Jesch | Nurse Practitioner | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Nicole M Marti | Nurse Practitioner | Center for Pain Management, P.a. | 519 22nd E Ave, Alexandria, MN 56308-4652 |
| Bryce Cole Holmgren | Pain Management | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Nicole Marie Cole | Physician Assistant | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Daniel L Truax | Physician Assistant | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Samir M Elghor | Interventional Pain Management | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Matthew J Timp | Pain Management | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Jeffrey R Anderson | Interventional Pain Management | Center for Pain Management, P.a. | 519 22nd E Ave, Alexandria, MN 56308-4652 |
| Ranjan Dey | Interventional Pain Management | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Ramon P Sotto | Interventional Pain Management | Center for Pain Management, P.a. | 166 19th S St, Suite 101, Sartell, MN 56377-2154 |
| Street Address |
2300 24TH NWST SUITE 101 |
| City | BEMIDJI |
| State | MN |
| Zip | 56601-6379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Hill | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Kimberly Js Avenson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Julie L Paulson | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Megan S Hansen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Sarah C Weinzierl | Psychologist, Clinical | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Catherine A Sorensen | Clinical Social Worker | Sanford Health of Northern Minnesota | 722 15th St Nw, Bemidji, MN 56601-2528 |
| Tami D Lindell | Nurse Practitioner | 702 5th St Nw, Bemidji, MN 56601-2976 | |
| Tamara Lonelle Mason | Clinical Social Worker | 522 Beltrami Ave Nw, Suite 108, Bemidji, MN 56601-3002 | |
| Ragna Adair Godtland | Optometry | Sanford Health of Northern Minnesota | 506 Beltrami Ave Nw, Bemidji, MN 56601-3010 |
| Diane M Pittman | Emergency Medicine | 514 Beltrami Ave Nw, Suite 102, Bemidji, MN 56601-3010 | |
| Find all physicians in zip 56601 | |||
| City | BEMIDJI |
| Zip Code | 56601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEMIDJI + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jenna M Gross.
| 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.