Odyssey Wellness Inc
NPI 1023851136ActiveOrganization· Nurse Practitioner· Bloomington, IN
Nurse Practitioner in Bloomington, Indiana, registered in NPPES in June 2024. The authorized official on file is James Penticuff, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023851136 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Nurse Practitioner providers in Bloomington
- 1699514711
- 1366122566
- 1821615485
- 1689868770
- 1548489834
- 1558055079
- 1316991557
- 1851396642
- 1619958782
- 1194158691
- 1538164330
- 1891318598