Elite Primary Care and Aesthetics LLC
NPI 1053119818ActiveOrganization· Nurse Practitioner, Family· Suffolk, VA
Nurse Practitioner, Family in Suffolk, Virginia, registered in NPPES in March 2025. The authorized official on file is Asia Denise Gordon, NP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053119818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2025 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
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 (VA) |
|---|
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