Shauna M Jacobs (NPI# 1275042707, PAC ID# 7517225592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275042707 |
| PAC ID by PECOS | 7517225592 |
| Professional Enrollment ID | I20171220002833 |
| Full Name | Shauna M Jacobs |
| Organization Legal Name | SANFORD CLINIC |
| Address |
1309 W 17 St Radiation Oncology Sioux Falls SD 57104-4663 |
| Phone Number | 6053286001 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430027 | SANFORD USD MEDICAL CENTER |
| 241371 | SANFORD LUVERNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 | 6053286001 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Lyndsie A Deragisch | Nurse Practitioner | Sanford Clinic | 900 E 54th St N, Suite 200, Sioux Falls, SD 57105-0686 |
| Street Address |
1309 W 17 ST RADIATION ONCOLOGY |
| City | SIOUX FALLS |
| State | SD |
| Zip | 57104-4663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth P Toomajian | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kimberly R Hamer | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Richard J Barth | Endocrinology | Sanford Clinic | 1309 W 17 St, Sioux Falls, SD 57104-4663 |
| Jesse L Dirksen | General Surgery | Sanford Medical Center | 1309 W 17 St, 101 Sanford Hematology Oncology, Sioux Falls, SD 57104-8805 |
| Frederick Joseph Severs Jr. | Diagnostic Radiology | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Melinda R Talley | Diagnostic Radiology | Sanford Clinic | 1309 W 17 St, Sioux Falls, SD 57104-4663 |
| Mindi K Vandekamp | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Sanford Clinic Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Reinschmidt | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Khalil A Yousef | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Adam H Nichols | Podiatry | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Edward J Czarnecki | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Mohammad Qamar | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| David A Swanson | Nuclear Medicine | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Christina E Lankhorst | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Muhammad S Mustafa | Neurology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Anthony J Rupp | Nephrology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Aaron D Berg | Diagnostic Radiology | Sanford Clinic | 1305 W 18th St, Pathology Clinic, Sioux Falls, SD 57104-0401 |
| Find all physicians in zip 57104 | |||
| City | SIOUX FALLS |
| Zip Code | 57104 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SIOUX FALLS + NURSE PRACTITIONER |
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| 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.