Custom Made Weight Loss and Nursing Solutions
NPI 1093361057ActiveOrganization· Nurse Practitioner· Laurel, MD
Nurse Practitioner in Laurel, Maryland, registered in NPPES in August 2019. The authorized official on file is Bermesola M. Dyer, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093361057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2019 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Family Medicine, Bariatric Medicine | 207QB0002X | — | — |
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 (DC) |
|---|
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