Traci E Jensen (NPI# 1053595041, PAC ID# 8628264223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053595041 |
| PAC ID by PECOS | 8628264223 |
| Professional Enrollment ID | I20101122000799 |
| Full Name | Traci E Jensen |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
6320 W Union Hills Dr 2300b John C Lincoln Family Medicine and Wellness Cente Glendale AZ 85308-1376 |
| Phone Number | 6235619113 |
| Gender | F |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6220 W Bell Rd, Glendale, AZ 85308-3896 | JOHN C LINCOLN LLC | |
| 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 | 6235619113 | JOHN C LINCOLN LLC |
| 28471 N Vistancia Blvd, Suite 102, Peoria, AZ 85383-2092 | 6233278800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lynn Stout | Nurse Practitioner | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Danielle J Mackelprang | Nurse Practitioner | John C Lincoln LLC | 3621 N Wells Fargo Ave, Scottsdale, AZ 85251-5607 |
| Jamillah L Ferguson | Nurse Practitioner | John C Lincoln LLC | 4131 N 24th St, Suite B102, Phoenix, AZ 85016-6231 |
| Chelsea J Thomsen | Internal Medicine | John C Lincoln LLC | 20330 N Cave Creek Rd, Suite 160, Phoenix, AZ 85024-1280 |
| Nicole A Konkowski | Family Medicine | John C Lincoln LLC | 9327 N 3 St, 100 Squaw Peak Family Medicine, Phoenix, AZ 85020-2471 |
| Lisa K Dela Cruz | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Marlene T Patino | Physician Assistant | John C Lincoln LLC | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 |
| Therese G Argyros | Nurse Practitioner | John C Lincoln LLC | 4712 E Dynamite Blvd, Cave Creek, AZ 85331-6243 |
| Richard A Wall | Family Practice | John C Lincoln LLC | 19841 N 27 Ave, 101 Dearing Family Medicine, Phoenix, AZ 85027-4004 |
| Street Address |
6320 W UNION HILLS DR 2300B JOHN C LINCOLN FAMILY MEDICINE AND WELLNESS CENTE |
| City | GLENDALE |
| State | AZ |
| Zip | 85308-1376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina L Webb | Physical Therapy | Bhsm Rehabilitation, LLC | 6320 W Union Hills Dr, Suite 265, Glendale, AZ 85308-1098 |
| Edward J Lihvarchik Jr. | Physical Therapy | Bhsm Rehabilitation, LLC | 6320 W Union Hills Dr, Suite 265, Glendale, AZ 85308-1098 |
| Kristina A Fawcett | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Cristi L Lee | Physician Assistant | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Michael L Berman | Internal Medicine | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Ryan A Azevedo | Physician Assistant | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Brent William Mcmurtry | Physical Therapy | Bhsm Rehabilitation, LLC | 6320 W Union Hills Dr, Suite 265, Glendale, AZ 85308-1098 |
| Michael N Desvigne | Plastic and Reconstructive Surgery | 6320 W Union Hills Dr, Suite 140, Glendale, AZ 85308-7172 | |
| Kimberly D Vana | Nurse Practitioner | Valley Sleep Physicians Inc | 6320 W Union Hills Dr, Bldg B Suite 1000, Glendale, AZ 85308-1096 |
| Amy M Lihvarchik | Physical Therapy | Bhsm Rehabilitation, LLC | 6320 W Union Hills Dr, Suite 265, Glendale, AZ 85308-1098 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Will V Jeffers | Family Practice | Will Jeffers D.o., P.C. | 8251 W Union Hills Dr, 140 Now Care, Glendale, AZ 85308-0505 |
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Waheeda Siddiqui Ahmed | Nurse Practitioner | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Henry Richard Mora | Family Practice | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| James Francois | Optometry | Nationwide Optometry P.C. | 20221 N 67th Ave, Suite E8, Glendale, AZ 85308-0602 |
| David E Hawkins | Physical Therapy | Achieve Physical Therapy of Arizona, Pllc | 17235 N 75th Ave, Suite E145, Glendale, AZ 85308-0867 |
| Philip J Zair | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Melanie H Dias | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Pamela Jeanne Waychoff | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| David S Villanueva | Physician Assistant | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Find all physicians in zip 85308 | |||
| City | GLENDALE |
| Zip Code | 85308 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GLENDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Traci E Jensen.
| 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.