Mountain Medical Services PLLC
NPI 1053610717ActiveOrganization· Nurse Practitioner, Family· Kodak, TN
Nurse Practitioner, Family in Kodak, Tennessee, registered in NPPES in March 2011. The authorized official on file is Roger Dale Barnes, FNP DNP, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053610717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2011 |
| Last updated in NPPES | Jun 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN 13355 | TN |
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 (TN) |
|---|
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