Shanelle N Pedersen (NPI# 1205203528, PAC ID# 6305153438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205203528 |
| PAC ID by PECOS | 6305153438 |
| Professional Enrollment ID | I20150922001095 |
| Full Name | Shanelle N Pedersen |
| Organization Legal Name | PALMER LUTHERAN HEALTH CENTER INC |
| Address |
110 Jefferson St West Union IA 52175-1022 |
| Phone Number | 5634223817 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284544255 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161316 | GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 110 Jefferson St, West Union, IA 52175-1022 | 5634223817 | PALMER LUTHERAN HEALTH CENTER INC |
| 112 Jefferson St, West Union, IA 52175-1022 | 5634223811 | PALMER LUTHERAN HEALTH CENTER INC |
| Organization Legal Name | PALMER LUTHERAN HEALTH CENTER INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Rogers | Nurse Practitioner | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| Samuel D Brauer | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Darcy H Connelly | Physician Assistant | Palmer Lutheran Health Center Inc | 111 S Reynolds St, Postville, IA 52162-7737 |
| Geralyn R Zuercher | Family Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Rhonda A Cue | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Kirstin D Nelson Lerch | Physician Assistant | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Andrea K Dietzenbach | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Monika M Prost | Emergency Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Raquel S Ristau | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Chelsey E Zitelman | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Street Address |
110 JEFFERSON ST |
| City | WEST UNION |
| State | IA |
| Zip | 52175-1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel D Brauer | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Andrea K Dietzenbach | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Raquel S Ristau | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Vicki Novak | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Zbigniew Cichon | Internal Medicine | 110 Jefferson St, Suite 103, North Wilkesboro, NC 28659-3507 | |
| Kylie Lynn Jirak | Certified Nurse Midwife (cnm) | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Elizabeth L Abbas | Family Medicine | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Rogers | Nurse Practitioner | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| Tyler C Menke | Family Medicine | Winneshiek Medical Center | 112 Jefferson St, West Union, IA 52175-1022 |
| Jedadiah J Schaller | Diagnostic Radiology | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| Rande Kent Short | Emergency Medicine | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| David Peter Megremis | Diagnostic Radiology | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| Marcy A Fadness | Physician Assistant | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| John W Pleggenkuhle | Chiropractic | 317 Hwy 150 N, West Union, IA 52175-1048 | |
| Judd Swensen | Chiropractic | 114 E Elm St, West Union, IA 52175-1329 | |
| Amanda J Korth | Optometry | West Union Eye Clinic PC | 104 N Walnut St, West Union, IA 52175-1347 |
| Joshua Woodland | Optometry | West Union Eye Clinic PC | 104 N Walnut St, West Union, IA 52175-1347 |
| Find all physicians in zip 52175 | |||
| City | WEST UNION |
| Zip Code | 52175 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST UNION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shanelle N Pedersen.
| 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.