Physician Compare National (NPI:1770744302)

HEALTHCARE PROVIDER: JESSICA BERNADETTE STENSBY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770744302
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022288786
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110907001141
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STENSBY
	Individual professional last name
Provider First Name	JESSICA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	186 HOSPITAL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 500
	Group Practice or individual's line 2 address
City	WINCHESTER
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373982430
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440144
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TENNOVA HEALTHCARE-HARTON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y