Jessica Momose (NPI# 1164830154, PAC ID# 3779703590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164830154 |
| PAC ID by PECOS | 3779703590 |
| Professional Enrollment ID | I20140930000852 |
| Full Name | Jessica Momose |
| Organization Legal Name | ST JOSEPH MEDICAL GROUP |
| Address |
805 N Richmond St Fleetwood PA 19522-1058 |
| Phone Number | 6109440464 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779688650 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390096 | ST JOSEPH MEDICAL CENTER |
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 805 N Richmond St, Fleetwood, PA 19522-1058 | 6109440464 | ST JOSEPH MEDICAL GROUP |
| Organization Legal Name | ST JOSEPH MEDICAL GROUP |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Elizabeth Heckard | Nurse Practitioner | St Joseph Medical Group | 410 E Penn Ave, Robesonia, PA 19551-9014 |
| Jillian Michelle Ventuzelo | Family Medicine | St Joseph Medical Group | 2607 Keiser Blvd, Wyomissing, PA 19610-3338 |
| Vincent Zhang | Obstetrics/gynecology | St Joseph Medical Group | 145 N 6th St, Fl 2, Reading, PA 19601-3096 |
| Rachel Ehrhart | Nurse Practitioner | St Joseph Medical Group | 44 E Ave, Strausstown, PA 19559-7706 |
| Amal G Kebede | Internal Medicine | St Joseph Medical Group | 2500 Bernville Rd, Reading, PA 19605-9453 |
| Robin E Savar | Family Medicine | St Joseph Medical Group | 3970 Perkiomen Ave, Suite 102, Reading, PA 19606-2757 |
| Vijay Singh | Internal Medicine | St Joseph Medical Group | 2500 Bernville Rd, Reading, PA 19605-9453 |
| Sithu Lin | Internal Medicine | St Joseph Medical Group | 2500 Bernville Rd, Reading, PA 19605-9453 |
| Andre M Robinson | Anesthesiology | St Joseph Medical Group | 2500 Bernville Rd, Reading, PA 19605-9453 |
| Robert E Strang | Certified Registered Nurse Anesthetist (crna) | St Joseph Medical Group | 2500 Bernville Rd, Reading, PA 19605-9453 |
| Street Address |
805 N RICHMOND ST |
| City | FLEETWOOD |
| State | PA |
| Zip | 19522-1058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Debra Eisenhower | Nurse Practitioner | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Rebecca A Neri | Nurse Practitioner | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Eugene J Fellin | Family Medicine | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Francis Lamar Foley Jr. | Family Medicine | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Catherine A Delia | Physician Assistant | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Kelsey A Pfeiffenberger | Nurse Practitioner | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Andrea L. Miller | Physical Therapy | Integrated Medical Group PC | 805 N Richmond St, Suite 103, Fleetwood, PA 19522-1059 |
| Christopher S Gordos | Physical Therapy | Integrated Medical Group PC | 805 N Richmond St, Suite 103, Fleetwood, PA 19522-1059 |
| Valerie Ann Finlan | Nurse Practitioner | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Eric Alan Parrish | Physical Therapy | Integrated Medical Group PC | 805 N Richmond St, Suite 103, Fleetwood, PA 19522-1059 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Sellers | Family Practice | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Robert K Hippert | Family Practice | St Joseph Medical Group | 805 N Richmond St, Fleetwood, PA 19522-1058 |
| Brian John Ghessi | Chiropractic | 12 W Main St, Ghessi Chiropractic, Fleetwood, PA 19522-1315 | |
| Edgar M Vizcaino | Psychiatry | Concern-professional Services for Children, Youth and Families | 22 -24 N Franklin St, Fleetwood, PA 19522-1323 |
| Rebecca M Suglia | Clinical Social Worker | Concern-professional Services for Children, Youth and Families | 22 -24 N Franklin St, Fleetwood, PA 19522-1323 |
| Susan L Everett | Clinical Social Worker | Concern-professional Services for Children, Youth and Families | 22 -24 N Franklin St, Fleetwood, PA 19522-1323 |
| Clayton Rhine Smith | Podiatry | Fleetwood Footcare Center PC | 12 Lenhart Rd, Fleetwood, PA 19522-8613 |
| Jeffrey M Keating | Podiatry | Fleetwood Footcare Center PC | 12 Lenhart Rd, Fleetwood, PA 19522-8613 |
| Mohan Adu Mensah | Podiatry | Fleetwood Footcare Center PC | 12 Lenhart Rd, Fleetwood, PA 19522-8613 |
| Sean M Englehart | Chiropractic | 3129 Pricetown Rd, Suite B, Fleetwood, PA 19522-8739 | |
| Find all physicians in zip 19522 | |||
| City | FLEETWOOD |
| Zip Code | 19522 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLEETWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Momose.
| 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.