Roam Healthcare Inc - A Professional Nursing Corporation
NPI 1063920296ActiveOrganization· Nurse Practitioner, Family· Northridge, CA
Nurse Practitioner, Family in Northridge, California, registered in NPPES in January 2018. The authorized official on file is Michelle Joy Porciuncula, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063920296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2018 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95005617 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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