Carmen Mittleider (NPI# 1487023180, PAC ID# 8022318443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487023180 |
| PAC ID by PECOS | 8022318443 |
| Professional Enrollment ID | I20151207002748 |
| Full Name | Carmen Mittleider |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Address |
2430 20th St Sw Jamestown ND 58401-6201 |
| Phone Number | 7012535300 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931298155 |
| Number of Group Practice Members | 371 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350070 | ESSENTIA HEALTH |
| 351335 | JAMESTOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2430 20th St Sw, Jamestown, ND 58401-6201 | 7012535300 | INNOVIS HEALTH, LLC |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Physicians | 358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyrie Marie Severson | Nurse Practitioner | Innovis Health, LLC | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 |
| Holli Marquart | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Michelle R Bradley | Family Medicine | Innovis Health, LLC | 4110 51st Ave S, Fargo, ND 58104-7776 |
| Taylor G Mertz | Family Medicine | Innovis Health, LLC | 801 Belsly Blvd, Moorhead, MN 56560-5055 |
| Bonita J Jenzen | Nurse Practitioner | Innovis Health, LLC | 501 Main Ave S, Hankinson, ND 58041-4108 |
| Zena K Homan | Obstetrics/gynecology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Daniel J Levin | Optometry | Innovis Health, LLC | 1100 19th Ave N, Suite Landm, Fargo, ND 58102-5906 |
| Brian K Cooper | Physician Assistant | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Joel Ross Haugen | Family Medicine | Innovis Health, LLC | 5 9th Ave N, Casselton, ND 58012-3339 |
| Hans E Bjellum | Family Medicine | Innovis Health, LLC | 720 Main Ave, Moorhead, MN 56560-2752 |
| Street Address |
2430 20TH ST SW |
| City | JAMESTOWN |
| State | ND |
| Zip | 58401-6201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holli Marquart | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Patricia A Kline | Family Medicine | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Joann Delane Trader | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Sandie K. Owens | Clinical Psychologist | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Jonathan Eldor | General Surgery | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Jennifer Marie Eldor | Internal Medicine | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy E Hart | Clinical Social Worker | 1609 7th Ave Ne, Jamestown, ND 58401-2818 | |
| Chelsea L Modlin | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Jennifer D Nitschke | Clinical Psychologist | South Central Human Service Center | 520 Nw 3rd St, Jamestown, ND 58401-2968 |
| John J Weber | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Cassandra L Buchanan | Nurse Practitioner | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Charles R Voigt | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Courtney Mae Reinarts | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Daniel P Cramer | Clinical Psychologist | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| David L Clinkenbeard | Psychiatry | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Maria De Robles | Psychiatry | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Find all physicians in zip 58401 | |||
| City | JAMESTOWN |
| Zip Code | 58401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JAMESTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carmen Mittleider.
| 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.