Southwestern Pediatricspllc
NPI 1093033110ActiveOrganization· Nurse Practitioner, Family· Maricopa, AZ
Nurse Practitioner, Family in Maricopa, Arizona, registered in NPPES in May 2010, part of Southwestern Pediatrics PLLC. The authorized official on file is Kellie Ann Denos, Front Office.
Overview
| NPI | 1093033110 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southwestern Pediatrics PLLC |
| NPI issued | May 13, 2010 |
| Last updated in NPPES | May 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP3529 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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