REBECCA MARIE JERNSTROM (NPI# 1730686114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730686114 |
| Entity Type | Individual |
| Full Name | REBECCA MARIE JERNSTROM |
| Credential | FNP |
| Practice Address |
616 E 13th St Winamac IN 46996-1117 |
| Mailing Address |
Po Box 279 Winamac IN 46996-0279 |
| Practice Telephone | 5749462100 |
| Mailing Telephone | 5749462100 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007907A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
616 E 13TH ST |
| City | WINAMAC |
| State | IN |
| Zip Code | 46996-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395527 | Brian Matthew Pilarski | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2005-09-09 |
| 1447546031 | Melissa D Zahrt | Family Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2011-06-22 |
| 1457688376 | Alice Paulsen | Occupational Therapist | 616 E 13th St, Winamac, IN 46996-1117 | 2009-11-13 |
| 1033363353 | Winamac Emergency Physicians LLC | Emergency Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2008-11-13 |
| 1053580076 | Terry M Weaver | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2008-02-24 |
| 1316129695 | Husam Baki | Internal Medicine | 616 E 13th St, Winamac, IN 46996 | 2007-11-29 |
| 1164601142 | Rebecca Sue Dilts | Speech-Language Pathologist | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-26 |
| 1407044506 | Lori Lynn Semrau | Occupational Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
| 1205024312 | Holly Tolzin | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-15 |
| 1144418351 | Ryan Lee Pettet | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1316078520 | Eastern Pulaski Community School Corporation | Local Education Agency (LEA) | 711 School Drive, Winamac, IN 46996 | 2007-03-08 |
| 1649288689 | Goble Heal Chiropractic PC | Chiropractor | 116 E Pearl Street, Winamac, IN 46996 | 2006-08-04 |
| 1841832888 | Safeguard Joy LLC | In Home Supportive Care | 8111 W 400 S, Winamac, IN 46996 | 2019-10-10 |
| 1568958239 | John Paul Wunderlich | Counselor | 118 N Sally Dr, Winamac, IN 46996 | 2018-07-06 |
| 1770839797 | Catherine Dywan | Social Worker | 540 Hospital Dr, Winamac, IN 46996 | 2012-07-27 |
| 1013062686 | Clinton L. Kauffman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996 | 2007-01-24 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| 1285751040 | Mary Lynn Scheffer | Physical Therapist | 504 N Keller St, Winamac, IN 46996-1058 | 2007-03-24 |
| Find all providers in zip 46996 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853258 | Nadine Alene Nufer | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2020-05-26 |
| 1821635012 | Taylor Russell | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2019-12-06 |
| 1851862585 | Tisha Fry | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2018-12-06 |
| 1376023648 | Whitney Dawn Schmicker | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2018-08-16 |
| 1558725689 | Samantha J Pugh | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2016-04-05 |
| 1134455363 | Patricia Louise Benedict | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2009-10-22 |
| 1114981842 | Laura Jean Wicker | Nurse Practitioner | 540 Hospital Dr, Winamac, IN 46996-1173 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.