Kimberly A Mellick
TETON COUNTY HOSPITAL DISTRICT


Address: 1415 S Hwy 89, Jackson, WY 83001-8515
Phone: 3077398999

Kimberly A Mellick (NPI# 1073897930, PAC ID# 8921260969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1073897930
PAC ID by PECOS 8921260969
Professional Enrollment ID I20120508000607
Full Name Kimberly A Mellick
Organization Legal Name TETON COUNTY HOSPITAL DISTRICT
Address 1415 S Hwy 89
Jackson
WY 83001-8515
Phone Number 3077398999
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4880582295
Number of Group Practice Members 65
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530015 ST JOHNS MEDICAL CENTER

Other Locations

Address Phone Organization
1415 S Hwy 89, Jackson, WY 83001-8515 3077398999 TETON COUNTY HOSPITAL DISTRICT
555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640 3077337222 TETON COUNTY HOSPITAL DISTRICT

Organization Information

Organization Legal Name TETON COUNTY HOSPITAL DISTRICT
Physicians 54

Physicians with the same organization

Name Specialty Organization Address
Berit L Amundson Family Medicine Teton County Hospital District 625 E Hennick St, Pinedale, WY 82941-0001
Randy J. Kjorstad General Surgery Teton County Hospital District 555 E Broadway Ave, Suite 229, Jackson, WY 83001-8640
Shawn B Wright Certified Registered Nurse Anesthetist (crna) Teton County Hospital District 625 E Broadway Ave, Jackson, WY 83001-8642
William R Smith Emergency Medicine Teton County Hospital District 625 E Broadway Ave, Jackson, WY 83001-8642
Henry M Mcelroy Certified Registered Nurse Anesthetist (crna) Teton County Hospital District 625 E Broadway Ave, Jackson, WY 83001-8642
Jennifer Robin Almond Physician Assistant Teton County Hospital District 625 E Broadway Ave, Jackson, WY 83001-8642
Adam C Johnson Emergency Medicine Teton County Hospital District 625 E Broadway Ave, Jackson, WY 83001-8642
Lauren E Furtney Clinical Social Worker Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Roseanne R Prince Qualified Audiologist Teton County Hospital District 555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640
Kevin Sanville Family Medicine Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515

Office Location

Street Address 1415 S HWY 89
City JACKSON
State WY
Zip 83001-8515

Physicians in the same location

Name Specialty Organization Address
Lauren E Furtney Clinical Social Worker Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Kevin Sanville Family Medicine Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Jennifer J Fritch Physician Assistant Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
James R Little Jr. Family Medicine Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Layne E Lash Nurse Practitioner Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Teresa J Enright Nurse Practitioner Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Cecelia A. Tramburg Nurse Practitioner Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515
Emily E Johnston Emergency Medicine Teton County Hospital District 1415 S Hwy 89, Jackson, WY 83001-8515

Physicians in the same zip code

Name Specialty Organization Address
Brent A Blue Family Medicine Brent Blue Md 455 W Broadway, Jackson, WY 83001
John W Zendler Chiropractic 215 Scott Lane, Jackson, WY 83001
Charles F Harris Physician Assistant Brent Blue Md 455 W Broadway, Jackson, WY 83001
Robert C Berlin Diagnostic Radiology Jackson Hole Medical Imaging PC 625 E Broadway, Jackson, WY 83001
Steven A Nelson Clinical Psychologist Steven Nelson, Phd, Inc. 140 E Broadway, Jackson, WY 83001-0516
Sheila S Davis Certified Clinical Nurse Specialist (cns) 830 Upper Cache Creek Dr, Jackson, WY 83001-1281
Phillip G Poore General Surgery P George Poore Md PC 555 E Broadway, Jackson, WY 83001-4777
Lauren D Hinkle Certified Nurse Midwife (cnm) Gros Ventre Ob/gyn, LLP 555 E Broadway, Suite 108, Jackson, WY 83001-5550
Christina M Kitchen Nurse Practitioner Gros Ventre Ob/gyn, LLP 555 E Broadway, Suite 108, Jackson, WY 83001-5550
Joanna L Sheets Certified Nurse Midwife Gros Ventre Ob/gyn, LLP 555 E Broadway, Suite 108, Jackson, WY 83001-5550
Find all physicians in zip 83001

Competitor

Search similar physicians

City JACKSON
Zip Code 83001
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

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Dataset Information

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.

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