NP Provision, LLC
NPI 1043726144ActiveOrganization· Nurse Practitioner, Adult Health· Southfield, MI
Nurse Practitioner, Adult Health in Southfield, Michigan, registered in NPPES in December 2017. The authorized official on file is Timiko L. Drew, NP-C, Proprietor/Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043726144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2017 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | Nov 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4704177492 | MI |
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 (MI) |
|---|
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