| Mrs Jennifer Carrie Lesso, NP-C | |
|
607 W Main St, Grangeville, ID 83530-1345 | |
| (208) 983-1700 | |
| (208) 983-4665 |
| Full Name | Mrs Jennifer Carrie Lesso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 607 W Main St, Grangeville, Idaho |
| 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 |
|---|---|---|---|
| 1225396211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N-33959 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | NP-1366A (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | NP-1366A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Syringa General Hospital | Grangeville, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Syringa General Hospital District C I F | 6800707530 | 18 |
| Entity Name | Syringa General Hospital District C I F |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750336608 PECOS PAC ID: 6800707530 Enrollment ID: O20041008000778 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Carrie Lesso, NP-C 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-1700 | Mrs Jennifer Carrie Lesso, NP-C 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-1700 |
Teresa Lynn Soderling, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590 | |
Ms. Katrina K Bentley, PHD, CNS, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 Center Road, Grangeville, ID 83530 Phone: 208-983-5535 Fax: 208-983-5575 | |
Mrs. Lynnda Lee Macmillan, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 | |
William Mark Imus Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Nw 2nd St, Grangeville, ID 83530 Phone: 208-983-5120 Fax: 208-983-5404 |