Jessica Lynn Grimes (NPI# 1174844286, PAC ID# 5799927562) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1174844286 |
| PAC ID by PECOS | 5799927562 |
| Professional Enrollment ID | I20150831000060 |
| Full Name | Jessica Lynn Grimes |
| Organization Legal Name | PERHAM HOSPITAL DISTRICT |
| Address |
20 W Centennial 84 Dr New York Mills MN 56567-4012 |
| Phone Number | 2183851800 |
| Gender | F |
| Medical School | ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2264327766 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241373 | PERHAM HEALTH |
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 20 W Centennial 84 Dr, New York Mills, MN 56567-4012 | 2183851800 | PERHAM HOSPITAL DISTRICT |
| Organization Legal Name | PERHAM HOSPITAL DISTRICT |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda K Amundson | Nurse Practitioner | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Annalise J Shippee | Physician Assistant | Perham Hospital District | 105 Otter Dr, Ottertail, MN 56571-7040 |
| Ronald Miles Burd | Psychiatry | Perham Hospital District | 20 W Centennial 84 Dr, New York Mills, MN 56567-4311 |
| Dana L Chippendale | Certified Registered Nurse Anesthetist (crna) | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Corina V Narvaez Jacob | Family Medicine | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Carlos G Moscoso | Emergency Medicine | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Kailey B Witt | Family Medicine | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Jeffrey L Blickenstaff | Family Medicine | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Gail Y Pickett | Psychologist, Clinical | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Holly C Wright | Nurse Practitioner | Perham Hospital District | 1000 Coney St W, Perham, MN 56573-2102 |
| Street Address |
20 W CENTENNIAL 84 DR |
| City | NEW YORK MILLS |
| State | MN |
| Zip | 56567-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Miles Burd | Psychiatry | Perham Hospital District | 20 W Centennial 84 Dr, New York Mills, MN 56567-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Johnson | Chiropractic | 18 N Main St, New York Mills, MN 56567-4318 |
| City | NEW YORK MILLS |
| Zip Code | 56567 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NEW YORK MILLS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jessica Lynn Grimes.
| 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.