Mandy Jarvis (NPI# 1366903445, PAC ID# 9638409386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366903445 |
| PAC ID by PECOS | 9638409386 |
| Professional Enrollment ID | I20190924001829 |
| Full Name | Mandy Jarvis |
| Organization Legal Name | PAIN CARE CENTER LLC |
| Address |
2620 Commercial Way Suite 20 Rock Springs WY 82901-4705 |
| Phone Number | 3072126270 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385818681 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530011 | MEMORIAL HOSPITAL SWEETWATER COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 | 3072126270 | PAIN CARE CENTER LLC |
| Organization Legal Name | PAIN CARE CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharlotte Jane Shore | Nurse Practitioner | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Jill Bass | Nurse Practitioner | Pain Care Center LLC | 170 Arrowhead Dr, Suite 2, Evanston, WY 82930-9307 |
| Parry M Davison | Certified Registered Nurse Anesthetist (crna) | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Jennifer L Rosics | Physician Assistant | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Elohor Tessy Muagba | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Rhonda S Mclaughlin | Nurse Practitioner | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Jed Shay | Pain Management | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Robert A Campbell | Physical Medicine and Rehabilitation | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Meghan A Mcmackin | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Richard W Carver | Certified Registered Nurse Anesthetist | Pain Care Center LLC | 170 Arrowhead Dr, Evanston, WY 82930-9307 |
| Street Address |
2620 COMMERCIAL WAY SUITE 20 |
| City | ROCK SPRINGS |
| State | WY |
| Zip | 82901-4705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Heitz | Nurse Practitioner | 2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 | |
| Brian A Holtan | Diagnostic Radiology | New Frontier Imaging LLC | 2620 Commercial Way, Suite 10, Rock Springs, WY 82901-4755 |
| Louanna M Bradley | Nurse Practitioner | New Frontier Imaging LLC | 2620 Commercial Way, Suite 120, Rock Springs, WY 82901-4746 |
| Parry M Davison | Certified Registered Nurse Anesthetist (crna) | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Elohor Tessy Muagba | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Mandi E Lew | Nurse Practitioner | Bear Lake Community Health Center | 2620 Commercial Way, Suite 140, Rock Springs, WY 82901-4750 |
| Jeremy C Starr | Family Medicine | Bear Lake Community Health Center | 2620 Commercial Way, Suite 140, Rock Springs, WY 82901-4750 |
| Jed Shay | Pain Management | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Meghan A Mcmackin | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn Lee Palinek | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Tenny Hanson | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Israel Micah Stewart | Internal Medicine | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Mark E Wilson | Certified Registered Nurse Anesthetist (crna) | 2761 Commercial Way, Rock Springs, WY 82901-4753 | |
| Darcy W Turner | Family Medicine | Wyoming Range Medical PC | 2761 Commercial Wat, Rock Springs, WY 82901-4753 |
| Kurt L Hunter | Family Medicine | 2751 Commercial Way, Rock Springs, WY 82901-4753 | |
| Jonathan R Said | Physician Assistant | Wyoming Range Medical PC | 2761 Commercial Wat, Rock Springs, WY 82901-4753 |
| Richard A Anderson | Physician Assistant | Wyoming Range Medical PC | 2761 Commercial Wat, Rock Springs, WY 82901-4753 |
| Lance R Hager | Chiropractic | 2708 Commercial Way, Rock Springs, WY 82901-4754 | |
| Ty C Quickenden | Chiropractic | 2632 Foothill Blvd, Suite 107, Rock Springs, WY 82901-4757 | |
| Find all physicians in zip 82901 | |||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCK SPRINGS + 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.