Dermqueen LLC
NPI 1053234047ActiveOrganization· Nurse Practitioner, Family· Lancaster, OH
Nurse Practitioner, Family in Lancaster, Ohio, registered in NPPES in August 2026. The authorized official on file is Michelle Renko, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053234047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2026 |
| Last updated in NPPES | Aug 4, 2026 |
| Certified by provider | Aug 4, 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 (OH) |
|---|
Other Nurse Practitioner, Family providers in Lancaster
- 1215550504
- 1831372705
- 1225613946
- 1477820462
- 1255615498
- 1982347829
- 1255649893
- 1487447405
- 1518364389
- 1790225167
- 1326840182
- 1124418157