Dermcare & Healthcare Clinic, LLC
NPI 1053804740ActiveOrganization· Nurse Practitioner· Centralia, IL
Nurse Practitioner in Centralia, Illinois, registered in NPPES in June 2018. The authorized official on file is Tracy Dawn Arnold, NP-C, Owner, Np-C. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053804740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2018 |
| Last updated in NPPES | Jan 22, 2020 |
| Certified by provider | Jan 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209009665 | IL |
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 (IL) |
|---|
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