Christa Degrazia (NPI# 1013307685, PAC ID# 8325363617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013307685 |
| PAC ID by PECOS | 8325363617 |
| Professional Enrollment ID | I20150209000428 |
| Full Name | Christa Degrazia |
| Organization Legal Name | NISHA JACKSON INC. |
| Address |
3265 Hillcrest Park Dr Medford OR 97504-7657 |
| Phone Number | 5414949355 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305147745 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3265 Hillcrest Park Dr, Medford, OR 97504-7657 | 5414949355 | NISHA JACKSON INC. |
| Organization Legal Name | NISHA JACKSON INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari Rocco | Nurse Practitioner | Nisha Jackson Inc. | 98 E 11th Ave, Eugene, OR 97401-3538 |
| Kimbra A Epps | Nurse Practitioner | Nisha Jackson Inc. | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97471-1636 |
| Emily E Goemaat | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Victoria D Deeks | Nurse Practitioner | Nisha Jackson Inc. | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97471-1636 |
| Stephanie Patricia Romo | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Andrea Witham | Nurse Practitioner | Nisha Jackson Inc. | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97471-1636 |
| Mindy Lynn Leroy | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Rebecca M Meek | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Suzanne Tershak | Nurse Practitioner | Nisha Jackson Inc. | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97471-1636 |
| Nisha M Jackson | Nurse Practitioner | Nisha Jackson Inc. | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97471-1636 |
| Street Address |
3265 HILLCREST PARK DR |
| City | MEDFORD |
| State | OR |
| Zip | 97504-7657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily E Goemaat | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Stephanie Patricia Romo | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Mindy Lynn Leroy | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Rebecca M Meek | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Chelsea Deselms | Nurse Practitioner | Nisha Jackson Inc. | 3265 Hillcrest Park Dr, Medford, OR 97504-7657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Christa Degrazia.
| 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.