Dragonfly Primary Care LLC
NPI 1033782156ActiveOrganization· Nurse Practitioner, Family· Indianapolis, IN
Nurse Practitioner, Family in Indianapolis, Indiana, registered in NPPES in July 2021. The authorized official on file is Crystal Dawn Wiles, FNP-BC, Owner., Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033782156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2021 |
| Last updated in NPPES | Jul 19, 2021 |
| Certified by provider | Jul 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 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) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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