Jessica Mastbergen (NPI# 1023501699, PAC ID# 5395092233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023501699 |
| PAC ID by PECOS | 5395092233 |
| Professional Enrollment ID | I20180723003518 |
| Full Name | Jessica Mastbergen |
| Organization Legal Name | MUNSON MEDICAL CENTER |
| Address |
1221 6th St Suite 208 Traverse City MI 49684-2360 |
| Phone Number | 2319352045 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072426287 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1221 6th St, Suite 208, Traverse City, MI 49684-2360 | 2319352045 | MUNSON MEDICAL CENTER |
| Organization Legal Name | MUNSON MEDICAL CENTER |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Ann Kintigh | Nurse Practitioner | Munson Medical Center | 5041 N Royal Dr, 2 Munson Oncology N Royal Dr, Traverse City, MI 49684-6986 |
| Holly Hinds | Nurse Practitioner | Munson Medical Center | 4062 W Royal Dr, Traverse City, MI 49684-8965 |
| Andrew C Luea | Urology | Munson Medical Center | 3922 Cedar Run Rd, Bay Area, Traverse City, MI 49684-9687 |
| Zachary Hector Word | Hematology/oncology | Munson Medical Center | 217 S Madison St, Traverse City, MI 49684-2321 |
| Jill E Vollbrecht | Endocrinology | Munson Medical Center | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 |
| Roche J Featherstone | General Surgery | Munson Medical Center | 701 W Front St, Suite 200, Traverse City, MI 49684-2287 |
| David S Gordon | Hematology/oncology | Munson Medical Center | 4960 Skyview Ct, Traverse City, MI 49684-7173 |
| Elizabeth Shannon Elliot | Internal Medicine | Munson Medical Center | 224 Circle Dr, Traverse City, MI 49684-2700 |
| Martha A Frankowski | Neurology | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Samantha K Windle | Family Medicine | Munson Medical Center | 1400 Medical Campus Dr, Traverse City, MI 49684-7823 |
| Street Address |
1221 6TH ST SUITE 208 |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-2360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobby Kipak Kong | Cardiac Surgery | Cardiothoracic Surgeons of G.t. | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 |
| James R Mcdonnell | General Surgery | 1221 6th St, Suite 312, Traverse City, MI 49684-2361 | |
| Richard G Smith | Cardiac Surgery | Cardiothoracic Surgeons of G.t. | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 |
| Daniel T Muladore | Physician Assistant | Cardiothoracic Surgeons of G.t. | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 |
| Osama N Kashlan | Neurosurgery | Munson Medical Center | 1221 6th St, Traverse City, MI 49684-2701 |
| Shruti Sevak | General Surgery | Munson Medical Center | 1221 6th St, Suite 306, Traverse City, MI 49684-2361 |
| Alison B Quiring | Nurse Practitioner | Munson Medical Center | 1221 6th St, Suite 208, Traverse City, MI 49684-2360 |
| Jonathan E Bott | Infectious Disease | Munson Medical Center | 1221 6th St, Suite 206, Traverse City, MI 49684-2359 |
| Gihan Dawood | Endocrinology | Munson Medical Center | 1221 6th St, Suite 208, Traverse City, MI 49684-2360 |
| Aimee Hennessy | Nurse Practitioner | Munson Medical Center | 1221 6th St, Suite 100, Traverse City, MI 49684-2359 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TRAVERSE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Mastbergen.
| 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.