Mid-Columbia Dermatology, LLC
NPI 1033457395ActiveOrganization· Nurse Practitioner· Richland, WA
Nurse Practitioner in Richland, Washington, registered in NPPES in January 2013. The authorized official on file is Jennifer McCullugh, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033457395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2013 |
| Last updated in NPPES | Jan 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP60140231 | WA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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