Tessa M Sparks (NPI# 1275071516, PAC ID# 2668758004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275071516 |
| PAC ID by PECOS | 2668758004 |
| Professional Enrollment ID | I20170419000830 |
| Full Name | Tessa M Sparks |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Address |
Hc 31 Box Suite 310 Deer AR 72628-2628 |
| Phone Number | 8704285391 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870401722 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| Hc 31 Box, Suite 310, Deer, AR 72628-2628 | 8704285391 | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| 609 W Clark St, Jasper, AR 72641-0130 | 8704466740 | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Elizabeth Tester | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 |
| Haleigh Trotter | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 465 Medical Ctr Pkwy, Clinton, AR 72031-2031 |
| Neil Langer | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Abigail A Peerce | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 358 E Valley St, Yellville, AR 72687-2687 |
| Mandi K Strode | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Lauren Faulkner | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 326 Southside Rd, Bee Branch, AR 72013-9137 |
| Rebecca Simon | Family Medicine | Boston Mountain Rural Health Center Inc | 1002 N Spring St, Harrison, AR 72601-2918 |
| Danny Lynn Proffitt | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Jacky F Dunn | General Practice | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Tammy L Jones | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Street Address |
HC 31 BOX SUITE 310 |
| City | DEER |
| State | AR |
| Zip | 72628-2628 |
| City | DEER |
| Zip Code | 72628 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DEER + 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.