Kelley L Jensen (NPI# 1477108033, PAC ID# 6204168370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477108033 |
| PAC ID by PECOS | 6204168370 |
| Professional Enrollment ID | I20191023002165 |
| Full Name | Kelley L Jensen |
| Organization Legal Name | THE DULUTH CLINIC LTD |
| Address |
1542 Golf Course Rd Suite 204 Grand Rapids MN 55744-3537 |
| Phone Number | 2189997000 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567374283 |
| Number of Group Practice Members | 802 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241360 | DEER RIVER HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 | 2189997000 | THE DULUTH CLINIC LTD |
| Organization Legal Name | THE DULUTH CLINIC LTD |
| Physicians | 754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kate Jane Pelant | Nurse Practitioner | The Duluth Clinic Ltd | 211 S Boundary Ave, Proctor, MN 55810-2306 |
| Amos James Restad | Nurse Practitioner | The Duluth Clinic Ltd | 4212 Grand Ave, Duluth, MN 55807-2737 |
| Kirsten Ma Indrelie | Obstetrics/gynecology | The Duluth Clinic Ltd | 901 9th St N, Virginia, MN 55792-2325 |
| Mary F Hunt | Physical Therapy | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Dane Mcgee Ingebrigtson | Anesthesiology | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Katherine Merriweather Munck | Internal Medicine | The Duluth Clinic Ltd | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 |
| Ekaterine Vladimirovna Mchenry | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 400 1st Ave Sw, Chisholm, MN 55719-2081 |
| Jaclyn M Hughley | Nurse Practitioner | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
| Joni Kay Ohman | Nurse Practitioner | The Duluth Clinic Ltd | 2202 E 2nd St, Suite 377, Superior, WI 54880-3778 |
| Ala Addin H Kandeel | Allergy/immunology | The Duluth Clinic Ltd | 407 E 3rd St, Duluth, MN 55805-1950 |
| Street Address |
1542 GOLF COURSE RD SUITE 204 |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-3537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary F Hunt | Physical Therapy | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Daniel Joseph Margo | General Surgery | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 | |
| Thomas J Witt | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| M Jerry Z Mariano | Ophthalmology | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Elizabeth R Kohn | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3557 |
| Denise A Hove | Qualified Audiologist | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Amy Lynn Haugeberg | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Travis R Venner | Podiatry | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Karissa Marie Schultz | Nurse Practitioner | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| Michael Young | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND RAPIDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelley L Jensen.
| 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.