Extended NP Care LLC
NPI 1053800847ActiveOrganization· Nurse Practitioner· Milford, OH
Nurse Practitioner in Milford, Ohio, registered in NPPES in May 2018. The authorized official on file is Kristin Elizabeth Heenan, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053800847 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2018 |
| Last updated in NPPES | May 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | OH |
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 (OH) |
|---|
Other nurse practitioners in Milford
- 1144853664
- 1245984665
- 1144260035
- 1982078333