Jennifer Nora Graves (NPI# 1639682057, PAC ID# 8224389838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639682057 |
| PAC ID by PECOS | 8224389838 |
| Professional Enrollment ID | I20180920002556 |
| Full Name | Jennifer Nora Graves |
| Organization Legal Name | PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP |
| Address |
10 Santa Rosa St Suite 201 San Luis Obispo CA 93405-5826 |
| Phone Number | 8055447246 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860448685 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 | 8055447246 | PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP |
| 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 | 8053547101 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Organization Legal Name | PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Angelica M Flores | Nurse Practitioner | Pain Management Specialists Medical Group | 5000 San Palo Rd, Suite 101, Atascadero, CA 93422-2481 |
| Timothy Kuang | Physical Medicine and Rehabilitation | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Shaun Michael Lea | Certified Registered Nurse Anesthetist (crna) | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Carlos L Untal | Emergency Medicine | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Mellie Fay Keene | Nurse Practitioner | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Samer S. Othman | Hospitalist | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Natalia Donici | Nurse Practitioner | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Jashvant G Patel | Physical Medicine and Rehabilitation | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Nora Stone | Certified Registered Nurse Anesthetist (crna) | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Boris I Pilch | Interventional Pain Management | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Street Address |
10 SANTA ROSA ST SUITE 201 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-5826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Kuang | Physical Medicine and Rehabilitation | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Shaun Michael Lea | Certified Registered Nurse Anesthetist (crna) | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Philip J Citek | Interventional Pain Management | 10 Santa Rosa St, Suite 101, San Luis Obispo, CA 93405-5825 | |
| Carlos L Untal | Emergency Medicine | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Mellie Fay Keene | Nurse Practitioner | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Samer S. Othman | Hospitalist | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Natalia Donici | Nurse Practitioner | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Jashvant G Patel | Physical Medicine and Rehabilitation | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Nora Stone | Certified Registered Nurse Anesthetist (crna) | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Boris I Pilch | Interventional Pain Management | Pain Management Specialists Medical Group | 10 Santa Rosa St, Suite 201, San Luis Obispo, CA 93405-5826 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN LUIS OBISPO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Nora Graves.
| 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.