Shelly Ralston (NPI# 1154973253, PAC ID# 7113359431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154973253 |
| PAC ID by PECOS | 7113359431 |
| Professional Enrollment ID | I20191107000681 |
| Full Name | Shelly Ralston |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Address |
239 Pleasant St Concord NH 03301-7504 |
| Phone Number | 6032246561 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830002534 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 239 Pleasant St, Concord, NH 03301-7504 | 6032246561 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kuroush Aligholizadeh | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1 Magnolia Dr, La Plata, MD 20646-9357 |
| Nattile Clarke | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 200 Civic Ave, Salisbury, MD 21804-4599 |
| Sadia N Baqai | Geriatric Medicine | Genesis Eldercare Physician Services LLC | 3227 Bel Pre Rd, Silver Spring, MD 20906-2423 |
| Bao Tram C Nguyen | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Benorayehush B Weldetsadik | Internal Medicine | Genesis Eldercare Physician Services LLC | 7520 Surratts Rd, Clinton, MD 20735-3353 |
| Melissa Smith | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 257 Patton Ln, Harriman, TN 37748-8618 |
| Ellen Cassidy | Family Medicine | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Sandra B Shaheed | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1801 Wentworth Rd, Baltimore, MD 21234-6128 |
| Lorie Michelle Wardlow | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Bridgette A Gillin | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 7520 Surratts Rd, Clinton, MD 20735-3353 |
| Street Address |
239 PLEASANT ST |
| City | CONCORD |
| State | NH |
| Zip | 03301-7504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Dibble | Family Medicine | Genesis Eldercare Physician Services LLC | 239 Pleasant St, Concord, NH 03301-7504 |
| Tara Mcbride Afonso | Clinical Psychologist | Medoptions of New Hampshire LLC | 239 Pleasant St, Concord, NH 03301-7504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Zollo | Psychologist, Clinical | 18 N St, Suite 303, Concord, NH 03301 | |
| Nicole S Ross | Neuropsychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Anne K Pike | Psychologist, Clinical | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Diana Weiner | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Dawn M Decosta | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Rebecca Neal | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Leanne Booth | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Percy Ballantine Ii | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Jeffrey Fetter | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Erica J Fasano | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Find all physicians in zip 03301 | |||
| City | CONCORD |
| Zip Code | 03301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONCORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelly Ralston.
| 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.