Jennifer M Wilson (NPI# 1104197458, PAC ID# 5890931646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104197458 |
| PAC ID by PECOS | 5890931646 |
| Professional Enrollment ID | I20130423000317 |
| Full Name | Jennifer M Wilson |
| Organization Legal Name | ALBANY GENERAL HOSPITAL |
| Address |
1700 Geary St Se Albany OR 97322-6842 |
| Phone Number | 5418125500 |
| Gender | F |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931097987 |
| Number of Group Practice Members | 153 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 Geary St Se, Albany, OR 97322-6842 | 5418125500 | ALBANY GENERAL HOSPITAL |
| Organization Legal Name | ALBANY GENERAL HOSPITAL |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Marie Jackson | Psychologist, Clinical | Albany General Hospital | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 |
| Beth Anne Rathbun | Physician Assistant | Albany General Hospital | 400 Hickory St Nw, Albany, OR 97321-1700 |
| Kelsey Pearl Williams | Physician Assistant | Albany General Hospital | 1046 6th Ave Sw, Albany, OR 97321-1916 |
| Lauren E Hansen | Orthopedic Surgery | Albany General Hospital | 832 Elm St Sw, Suite 101, Albany, OR 97321-2062 |
| Heather May Krimsly | Clinical Social Worker | Albany General Hospital | 734 Elm St Sw, Albany, OR 97321-1934 |
| Michele Genevive Keffeler | Internal Medicine | Albany General Hospital | 1086 7th Ave Sw, Suite 200, Albany, OR 97321-1997 |
| Marty D Surface | Nurse Practitioner | Albany General Hospital | 4600 Evergreen Pl Se, Suite 200, Albany, OR 97322 |
| Shane M Gjesdal | Obstetrics/gynecology | Albany General Hospital | 705 Elm St Sw, Suite 200, Albany, OR 97321-1957 |
| William J Lear | Internal Medicine | Albany General Hospital | 1100 7th Ave Sw, Albany, OR 97321-1925 |
| Jayson Bradley Hieter | Physician Assistant | Albany General Hospital | 400 Hickory St Nw, Albany, OR 97321-1700 |
| Street Address |
1700 GEARY ST SE |
| City | ALBANY |
| State | OR |
| Zip | 97322-6842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Ward | Family Medicine | Albany General Hospital | 1700 Geary St Se, Suite 300a, Albany, OR 97322-6842 |
| Emily Claire Looney | Family Medicine | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| Kristina Eileen Corso | Family Medicine | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| Sara Jill Bybee | Family Medicine | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| Christopher H Smith | Psychologist, Clinical | Albany General Hospital | 1700 Geary St Se, Albany, OR 97322-6842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marty D Surface | Nurse Practitioner | Albany General Hospital | 4600 Evergreen Pl Se, Suite 200, Albany, OR 97322 |
| Christopher M Guempel | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Franklin L Hann Jr. | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Curt Glenn Eberhart | Physical Therapy | Guempel and Hann Physical Therapy, LLC | 1107 9th Ave Se, Albany, OR 97322-3205 |
| Melissa R Mcnulty | Physical Therapy | Limitless Physical Therapy of Albany LLC | 947 Geary St Se, Albany, OR 97322-4904 |
| Marisa C Aptecker | Chiropractic | 943 Geary St Se, Albany, OR 97322-4904 | |
| Nicholas R Brown | Chiropractic | 2216 9th Ave Se, Albany, OR 97322-5022 | |
| Patricia M Ohare | Dermatology | 1200 Queen Ave Se, Albany, OR 97322-6661 | |
| Carl R Hanson | Chiropractic | 2625 Queen Ave Se, Albany, OR 97322-6863 | |
| Mark D Williams | Physician Assistant | Silver Falls Dermatology PC | 1390 Waverly Dr Se, Albany, OR 97322-6945 |
| Find all physicians in zip 97322 | |||
| City | ALBANY |
| Zip Code | 97322 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALBANY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer M Wilson.
| 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.