Tracy Ann Zimmerman-deschepper (NPI# 1457753295, PAC ID# 4183846082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457753295 |
| PAC ID by PECOS | 4183846082 |
| Professional Enrollment ID | I20141110000282 |
| Full Name | Tracy Ann Zimmerman-deschepper |
| Organization Legal Name | MODERN MOJO |
| Address |
28 Nw 4th St Suite A Grand Rapids MN 55744-2714 |
| Phone Number | 2189997750 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456621457 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 28 Nw 4th St, Suite A, Grand Rapids, MN 55744-2714 | 2189997750 | MODERN MOJO |
| Organization Legal Name | MODERN MOJO |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley A Leutschaft | Psychologist, Clinical | Modern Mojo | 28 Nw 4th St, Suite A, Grand Rapids, MN 55744-2714 |
| Street Address |
28 NW 4TH ST SUITE A |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley A Leutschaft | Psychologist, Clinical | Modern Mojo | 28 Nw 4th St, Suite A, Grand Rapids, MN 55744-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND RAPIDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy Ann Zimmerman-deschepper.
| 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.