Terrilee Jackel (NPI# 1245634401, PAC ID# 4981928488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245634401 |
| PAC ID by PECOS | 4981928488 |
| Professional Enrollment ID | I20150109000762 |
| Full Name | Terrilee Jackel |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA INC |
| Address |
802 Ackerly St Lamoni IA 50140-1544 |
| Phone Number | 6417847911 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597717496 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161340 | DECATUR COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 802 Ackerly St, Lamoni, IA 50140-1544 | 6417847911 | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA INC |
| 302 Ne 14th St, Leon, IA 50144-1206 | 6414462383 | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA INC |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista Lynn Johnson | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 221 E State St, Centerville, IA 52544-1813 |
| Alva Eugene Yoder | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Roshan Dasari | Psychiatry | Community Health Centers of Southern Iowa Inc | 204 S Franklin St, Corydon, IA 50060-1520 |
| Larry W Richard | Family Medicine | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Jenifer A Grissom | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Linda M Klejch | Registered Dietitian Or Nutrition Professional | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Colleen Elizabeth Stephens | Clinical Social Worker | Community Health Centers of Southern Iowa Inc | 221 E State St, Centerville, IA 52544-1813 |
| Nathan B Allen | Family Medicine | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Mark E Easter | Family Medicine | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Paul Casper | Physician Assistant | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Street Address |
802 ACKERLY ST |
| City | LAMONI |
| State | IA |
| Zip | 50140-1544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alva Eugene Yoder | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Linda M Klejch | Registered Dietitian Or Nutrition Professional | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Nathan B Allen | Family Medicine | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Jennifer L Spoerl | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Andrew D Sullivan | Physician Assistant | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Evelyn Lee Conrad | Clinical Social Worker | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Matthew James Dzak | Psychologist, Clinical | Community Health Centers of Southern Iowa Inc | 802 Ackerly St, Lamoni, IA 50140-1544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan T Nowlin | Chiropractic | 303 S Linden, Lamoni, IA 50140-1616 |
| City | LAMONI |
| Zip Code | 50140 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAMONI + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Terrilee Jackel.
| 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.