Jessica Marie Crocker (NPI# 1164942694, PAC ID# 7810268034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164942694 |
| PAC ID by PECOS | 7810268034 |
| Professional Enrollment ID | I20170807002706 |
| Full Name | Jessica Marie Crocker |
| Organization Legal Name | TRUMAN MEDICAL CENTER INCORPORATED |
| Address |
1525 E 23rd St S University Health On The Go Clinic Independence MO 64055-1670 |
| Phone Number | 8164049800 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315841418 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260048 | TRUMAN MEDICAL CENTER HOSPITAL HILL |
| 260102 | TRUMAN MEDICAL CENTER LAKEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 1525 E 23rd St S, University Health On The Go Clinic, Independence, MO 64055-1670 | 8164049800 | TRUMAN MEDICAL CENTER INCORPORATED |
| 4545 S Noland Rd, University Health On The Go Clinic, Independence, MO 64055-4887 | 8164049810 | TRUMAN MEDICAL CENTER INCORPORATED |
| Organization Legal Name | TRUMAN MEDICAL CENTER INCORPORATED |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eunice Minoo Mutisya | Nurse Practitioner | Truman Medical Center Incorporated | 9406 E 63rd St, Truman Medical Center Incorporated Raytown Family, Raytown, MO 64133-4904 |
| Johanna Roten | Clinical Social Worker | Truman Medical Center Incorporated | 300 Se 2nd St, 100 Truman Medical Center Lakewood Counseling Services, Lees Summit, MO 64063-2759 |
| Leanora Elizabeth Barreca | Psychologist, Clinical | Truman Medical Center Incorporated | 606 S Hardy Ave, Truman Medical Center Incorporated Fairmont Famil, Independence, MO 64053-1827 |
| Ajanta J Raman | Nurse Practitioner | Truman Medical Center Incorporated | 1000 E 24th St Unit 2c Office, 53 Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2640 |
| Joseph L Nichols | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Sherril F Sego | Nurse Practitioner | Truman Medical Center Incorporated | 19000 E Eastland Ctr Ct, 100 Truman Medical Center Incorporated Medical Imaging, Independence, MO 64055-7023 |
| Kelli A Pryor | Certified Registered Nurse Anesthetist (crna) | Truman Medical Center Incorporated | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
| Linda D Dill | Anesthesiology | Truman Medical Center Incorporated | 1000 E 24th St Unit 2c Office, 53 Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2640 |
| Jakob J Nelson | Psychologist, Clinical | Truman Medical Center Incorporated | 2301 Holmes St, Kansas City, MO 64108-2640 |
| Sharon M Kathrens | Nurse Practitioner | Truman Medical Center Incorporated | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
| Street Address |
1525 E 23RD ST S UNIVERSITY HEALTH ON THE GO CLINIC |
| City | INDEPENDENCE |
| State | MO |
| Zip | 64055-1670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kulnarin Gay Purcell | Internal Medicine | 1325 S Noland Rd C, Independence, MO 64055-1338 | |
| Greg L Testerman | Nurse Practitioner | Independence Regional Medical Group LLC | 1520 E 23rd St, Suite 1, Independence, MO 64055-1600 |
| Karen Meenan | Nurse Practitioner | Independence Regional Medical Group LLC | 1520 E 23rd St, Suite 1, Independence, MO 64055-1600 |
| Chad Edward Jackley | Chiropractic | 15807 E 23rd St, Independence, MO 64055-1908 | |
| Kimberly A Swan | Optometry | Bray Shepherd Eye Care PC | 16637 E 23rd St S, Independence Family Eye Care, Independence, MO 64055-1922 |
| Marcia E Bray | Optometry | Bray Shepherd Eye Care PC | 16637 E 23rd St S, Independence Family Eye Care, Independence, MO 64055-1922 |
| Bryan Craig Baker | Chiropractic | 13723 E 39th St S, Independence, MO 64055-3321 | |
| Robert A Sturges | Optometry | 13905 E 39th St S, Independence, MO 64055-3325 | |
| James Bradley Doty | Chiropractic | 3730 S Noland Rd, Independence, MO 64055-3343 | |
| Stephanie L Kramer | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 3825 S Noland Rd, Independence, MO 64055-3344 |
| Find all physicians in zip 64055 | |||
| City | INDEPENDENCE |
| Zip Code | 64055 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDEPENDENCE + 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.