Renee M Wilson (NPI# 1215019534, PAC ID# 5294779716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215019534 |
| PAC ID by PECOS | 5294779716 |
| Professional Enrollment ID | I20050616001088 |
| Full Name | Renee M Wilson |
| Organization Legal Name | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Address |
1200 Garrity Blvd Nampa ID 83687-3402 |
| Phone Number | 2083436458 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002708773 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 425 W Bannock St, Boise, ID 83702-6035 | 2083436458 | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2083436458 | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Organization Legal Name | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Lea Rasmussen | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Cory A Shuler | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Regina M Hanson | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Mark Joseph Dell'aglio | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Tish Diane Davis | Physician Assistant | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Robert Alanson Lockwood | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Jessica Spring Snuffin | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 1200 Garrity Blvd, Nampa, ID 83687-3402 |
| Jennifer Brown Leonard | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Kirsten Joy Morigeau | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Matthew D Hella | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Street Address |
1200 GARRITY BLVD |
| City | NAMPA |
| State | ID |
| Zip | 83687-3402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Spring Snuffin | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 1200 Garrity Blvd, Nampa, ID 83687-3402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NAMPA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Renee M Wilson.
| 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.