Crystal L Nicosia (NPI# 1154747970, PAC ID# 7113141516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154747970 |
| PAC ID by PECOS | 7113141516 |
| Professional Enrollment ID | I20190415002475 |
| Full Name | Crystal L Nicosia |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF KANSAS PA |
| Address |
390 Limit St Leavenworth KS 66048-4525 |
| Phone Number | 8663892727 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416043807 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 390 Limit St, Leavenworth, KS 66048-4525 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF KANSAS PA |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF KANSAS PA |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron B Davis | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1220 E Republic Rd, Springfield, MO 65807-7209 |
| Jessica L Mancini | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 3002 Hwy K, O Fallon, MO 63368-8675 |
| Corinne E Smith | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 4990 Ne Vivion Rd, Kansas City, MO 64119-2935 |
| Sharon S Edgar | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 2300 Iowa St, Lawrence, KS 66046-3938 |
| Jenny V Wilson | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 17301 E Us Hwy 24, Independence, MO 64056-1807 |
| Shawna Renea Nguyen | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 3045 W Republic St, Springfield, MO 65807-4682 |
| Keona E Smith | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 |
| Sara E Roediger | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1301 Platte Falls Rd, Platte City, MO 64079-7334 |
| Ashley L Breaux | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1914 Swift Ave, Kansas City, MO 64116-3447 |
| Krista M Keeler | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 1901 W Kansas St, Liberty, MO 64068-2060 |
| Street Address |
390 LIMIT ST |
| City | LEAVENWORTH |
| State | KS |
| Zip | 66048-4525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason G Gray | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 390 Limit St, Leavenworth, KS 66048-4525 |
| Sarah M Payne | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 390 Limit St, Leavenworth, KS 66048-4525 |
| Valerie S Jenek | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 390 Limit St, Leavenworth, KS 66048-4525 |
| Peggy L Moran | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 390 Limit St, Leavenworth, KS 66048-4525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Kay Kamp | Qualified Speech Language Pathologist | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Miranda Mularoni | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Lori Welter | Occupational Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Alison Fratzke | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Katie Hewitt | Speech Language Pathologist | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Bethany Young | Occupational Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| E Cooper | Physical Therapy | Deborah A King Ma and Associates Inc | 721 Metropolitan Ave, Suite C, Leavenworth, KS 66048-1469 |
| Valerie Annette Bellario | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Ariana Nieder | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Lydia Muttai | Nurse Practitioner | Emergent Care Plus of Overland Park LLC | 1100 N 4th St, Leavenworth, KS 66048-1572 |
| Find all physicians in zip 66048 | |||
| City | LEAVENWORTH |
| Zip Code | 66048 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEAVENWORTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal L Nicosia.
| 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.