Mysti Blu Management Group, LLC
NPI 1003632522ActiveOrganization· Home Infusion· Carrollton, TX
Home Infusion in Carrollton, Texas, registered in NPPES in November 2024. The authorized official on file is Jerria Bernestine, FNP-C, Owner.
Overview
| NPI | 1003632522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2024 |
| Last updated in NPPES | Nov 30, 2024 |
| Certified by provider | Nov 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Home Infusion Primary | 251F00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Home Infusion providers in Carrollton
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