Kelsey R Lee Wagner (NPI# 1588082408, PAC ID# 5193028637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1588082408 |
| PAC ID by PECOS | 5193028637 |
| Professional Enrollment ID | I20181203002568 |
| Full Name | Kelsey R Lee Wagner |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
146 W Dale Street 102 Ob/gyn Waterloo Waterloo IA 50703-1901 |
| Phone Number | 3192355050 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160110 | ALLEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 146 W Dale Street, 102 Ob/gyn Waterloo, Waterloo, IA 50703-1901 | 3192355050 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
146 W DALE STREET 102 OB/GYN WATERLOO |
| City | WATERLOO |
| State | IA |
| Zip | 50703-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pradeep M Ramesh | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 146 W Dale Street, 102 Ob/gyn Waterloo, Waterloo, IA 50703-1901 |
| Karlea J Norby | Certified Nurse Midwife (cnm) | Iowa Physicians Clinic Medical Foundation | 146 W Dale Street, 102 Ob/gyn Waterloo, Waterloo, IA 50703-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sapna N Patel | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sherry Khurana | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Cody Lafler | Occupational Therapy | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Alison J Jayme | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Katie C Wilcox | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Maggie M Austin | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Elizabeth R Batterson | Nurse Practitioner | Cedar Valley Medical Specialists PC | 419 E Donald St, Waterloo, IA 50703-1223 |
| Holly L Gaede | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Jean Marie Hoy | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Find all physicians in zip 50703 | |||
| City | WATERLOO |
| Zip Code | 50703 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WATERLOO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kelsey R Lee Wagner.
| 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.