Danyelle R Fenner (NPI# 1235585134, PAC ID# 7911298831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235585134 |
| PAC ID by PECOS | 7911298831 |
| Professional Enrollment ID | I20190821001028 |
| Full Name | Danyelle R Fenner |
| Organization Legal Name | ESSENTIA HEALTH VIRGINIA LLC |
| Address |
300 W Conan St Ely MN 55731-1145 |
| Phone Number | 2183657900 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810149002 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240084 | ESSENTIA HEALTH VIRGINIA |
| 241318 | ELY BLOOMENSON COMMUNITY HOSPITAL |
| 060023 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 W Conan St, Ely, MN 55731-1145 | 2183657900 | ESSENTIA HEALTH VIRGINIA LLC |
| Organization Legal Name | ESSENTIA HEALTH VIRGINIA LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darci Leigh Pelland | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Joseph Anthony Bianco | Family Medicine | Essentia Health Virginia LLC | 71 S Dr, Babbitt, MN 55706-1232 |
| Kathi M Henrickson | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Jeri Leah Vergeldt | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Jeffrey T Hardwig | Psychiatry | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Jennifer L Hansen | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Emily M Nicholson | Physician Assistant | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Brian Jason Junnila | Emergency Medicine | Essentia Health Virginia LLC | 901 9th St N, Virginia, MN 55792-2325 |
| Anthony Christian Stone | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Elizabeth Emily Lessard | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
| Street Address |
300 W CONAN ST |
| City | ELY |
| State | MN |
| Zip | 55731-1145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Allen Wilt | Family Medicine | Essentia Health Virginia LLC | 300 W Conan St, Ely, MN 55731-1145 |
| Robert Walter Stubenvoll | Otolaryngology | Essentia Health Virginia LLC | 300 W Conan St, Ely, MN 55731-1145 |
| Michael J Hieb | Family Practice | Essentia Health Virginia LLC | 300 W Conan St, Ely, MN 55731-1145 |
| Jeanann Tjader | Nurse Practitioner | Essentia Health Virginia LLC | 300 W Conan St, Ely, MN 55731-1145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Savereide | General Surgery | 328 W Conan St, Ely, MN 55731-1145 | |
| Erin T Bremner | Optometry | 38 E Harvey St, Ely, MN 55731-1240 | |
| Lavern A Phelps Jr. | Chiropractic | 22 E Chapman St, Ely, MN 55731-1280 | |
| Robert J Mattson | Chiropractic | 247 E Chapman St, Ely, MN 55731-1428 |
| City | ELY |
| Zip Code | 55731 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Danyelle R Fenner.
| 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.