Molly A Petersen (NPI# 1679987432, PAC ID# 9436378890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679987432 |
| PAC ID by PECOS | 9436378890 |
| Professional Enrollment ID | I20140917000192 |
| Full Name | Molly A Petersen |
| Organization Legal Name | CAMP GRIMIT PETERSEN LLC |
| Address |
17670 Welch Plz 102 Collaborative Psych Practitioners Omaha NE 68135-3805 |
| Phone Number | 4024035222 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264701598 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17670 Welch Plz, 102 Collaborative Psych Practitioners, Omaha, NE 68135-3805 | 4024035222 | CAMP GRIMIT PETERSEN LLC |
| 2255 S 132nd St, Suite 200, Omaha, NE 68144-2573 | 4023341122 | ASSOCIATED COUNSELING PROFESSIONALS PC |
| Organization Legal Name | CAMP GRIMIT PETERSEN LLC |
| Physicians | 1 |
| Street Address |
17670 WELCH PLZ 102 COLLABORATIVE PSYCH PRACTITIONERS |
| City | OMAHA |
| State | NE |
| Zip | 68135-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Gillaspie | Clinical Social Worker | 17670 Welch Plz, Suite 102, Omaha, NE 68135-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn L Dischler | Chiropractic | 18111 Q St, Suite 104, Omaha, NE 68135-1245 | |
| Michael S Bahe | Physical Therapy | Procare 3 Inc | 17725 Welch Plz, Suite A, Omaha, NE 68135-1402 |
| Kristin Ann Reed | Optometry | 19060 Q St, Suite 107, Omaha, NE 68135-1503 | |
| Andrew James Hauptman | Chiropractic | 19060 Q St, Suite 105, Omaha, NE 68135-1503 | |
| Lesa Gaye Verplank | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Lyndsey K Hinsley | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Carolyn Marie Bevins | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Nicole Marie Mixan | Nurse Practitioner | Alegent Health Quick Care LLC | 17810 Welch Plz, Omaha, NE 68135-1620 |
| Alison K Simmons | Chiropractic | 6723 S 180th St, Omaha, NE 68135-1883 | |
| Jeremiah Jon Rethwisch | Chiropractic | 18010 R Plz, Suite 104, Omaha, NE 68135-1923 | |
| Find all physicians in zip 68135 | |||
| City | OMAHA |
| Zip Code | 68135 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OMAHA + 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.