| Jacqueline D Nelson, PA-C | |
|
820 5th St N, Carrington, ND 58421 | |
| (701) 652-2515 | |
| (701) 652-3595 |
| Full Name | Jacqueline D Nelson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 820 5th St N, Carrington, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750586772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PAC0368 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PAC0368 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carrington Health Center | Carrington, ND | Hospital |
| Cooperstown Medical Center | Cooperstown, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Garrison Memorial Hospital | Garrison, ND | Hospital |
| Chi St Alexius Health Carrington | Carrington, ND | Nursing home |
| Dakota Regional Medical Center Hospital Swingbed | Cooperstown, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperstown Medical Center | 5698687689 | 13 |
| Carrington Health Center | 0547177552 | 12 |
| Entity Name | Carrington Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205807013 PECOS PAC ID: 0547177552 Enrollment ID: O20020822000021 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609872431 PECOS PAC ID: 4486562873 Enrollment ID: O20030918000039 |
| Entity Name | Cooperstown Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952381873 PECOS PAC ID: 0143206946 Enrollment ID: O20040624000556 |
| Entity Name | Mercy Hospital of Valley City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
| Entity Name | Carrington Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558389338 PECOS PAC ID: 0547177552 Enrollment ID: O20040810000314 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1982674560 PECOS PAC ID: 0143206946 Enrollment ID: O20061104000698 |
| Entity Name | Mercy Hospital of Valley City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20070611000170 |
| Entity Name | Medallus & Vacharothone Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710496310 PECOS PAC ID: 3072871276 Enrollment ID: O20180213000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline D Nelson, PA-C 820 5th St N, Po Box 79, Carrington, ND 58421-1223 Ph: (701) 652-2515 | Jacqueline D Nelson, PA-C 820 5th St N, Carrington, ND 58421 Ph: (701) 652-2515 |
Bradley Hoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 5th St N, Carrington, ND 58421 Phone: 701-652-2515 Fax: 701-652-2846 |
Mary L Hoff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 5th St N, Carrington, ND 58421 Phone: 701-652-2515 Fax: 701-652-2846 |