Pvd Cares Wellness Center LLC
NPI 1063059244ActiveOrganization· Nurse Practitioner· Pawtucket, RI
Nurse Practitioner in Pawtucket, Rhode Island, registered in NPPES in December 2019. The authorized official on file is Effien King, FNP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1063059244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2019 |
| Last updated in NPPES | Jun 29, 2021 |
| Certified by provider | Jun 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (RI) |
|---|
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