Memorial Nephrology Associates PLLC
NPI 1053374421ActiveOrganization· Internal Medicine, Nephrology· Olympia, WA
Internal Medicine, Nephrology in Olympia, Washington, registered in NPPES in April 2006. The authorized official on file is Mikki Collett, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053374421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2006 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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