Jennifer A Waller (NPI# 1295271690, PAC ID# 9335426956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295271690 |
| PAC ID by PECOS | 9335426956 |
| Professional Enrollment ID | I20170509002348 |
| Full Name | Jennifer A Waller |
| Organization Legal Name | SANFORD MEDICAL CENTER |
| Address |
1508 W 22 St 101 Sanford Surgical Associates Sioux Falls SD 57105-1514 |
| Phone Number | 6053283840 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325950215 |
| Number of Group Practice Members | 487 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430027 | SANFORD USD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1508 W 22 St, 101 Sanford Surgical Associates, Sioux Falls, SD 57105-1514 | 6053283840 | SANFORD MEDICAL CENTER |
| Organization Legal Name | SANFORD MEDICAL CENTER |
| Physicians | 379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly D Tran | Ophthalmology | Sanford Medical Center | 1621 S Minnesota Ave, Sanford Eye Center and Optical, Sioux Falls, SD 57105-1743 |
| Vivek Joseph | Internal Medicine | Sanford Medical Center | 1310 W 22nd St, Lowr Level, Sioux Falls, SD 57105-1501 |
| Aaron D Mortensen | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
| Ryan L Tennant | Nurse Practitioner | Sanford Medical Center | 1210 W 18 St, G01 Sanford Orthopedics and Sports Medicine, Sioux Falls, SD 57104-4651 |
| Lyndsey S Horne | Nurse Practitioner | Sanford Medical Center | 1205 S Grange Ave, Suite 510, Sioux Falls, SD 57105-0410 |
| Joseph M Reynolds | Family Medicine | Sanford Medical Center | 600 N Sycamore Ave, Sanford 4th and Sycamore Family Medicine, Sioux Falls, SD 57110-5745 |
| Kayla M Norenberg | Family Medicine | Sanford Medical Center | 6110 S Minnesota Ave, Sanford 69th and Minnesota Family Medicine, Sioux Falls, SD 57108-2571 |
| Christina M Olson | Family Medicine | Sanford Medical Center | 6101 S Louise Ave, Sanford Children's Residency Clinic, Sioux Falls, SD 57108-5981 |
| Ukamaka N Nwadibia | Internal Medicine | Sanford Medical Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 |
| Kaitlyn Isaacson | Nurse Practitioner | Sanford Medical Center | 5019 S Western Ave, 200 Sanford Womens Internal Medicine Clinic, Sioux Falls, SD 57108-5155 |
| Street Address |
1508 W 22 ST 101 SANFORD SURGICAL ASSOCIATES |
| City | SIOUX FALLS |
| State | SD |
| Zip | 57105-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Angelos | General Surgery | Sanford Medical Center | 1508 W 22 St, 101 Sanford Surgical Associates, Sioux Falls, SD 57105-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron D Mortensen | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
| Glenn A Ridder | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Mark N Beard | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Christopher Brusseau | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
| Jennifer A Schriever | Family Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Arleigh Trainor | Emergency Medicine | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Nicole M Devoe | Nurse Practitioner | Sanford Clinic | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
| Daniel J Warner | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center | 1305 W 18 St, Sioux Falls, SD 57105-0401 |
| Jocelyn J Frohm | Dermatology | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Jennifer S Senge | Nurse Practitioner | Sanford Medical Center | 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 |
| Find all physicians in zip 57105 | |||
| City | SIOUX FALLS |
| Zip Code | 57105 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SIOUX FALLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer A Waller.
| 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.