Dynamic Healthcare LLC
NPI 1093396160ActiveOrganization· Nurse Practitioner, Family· Clovis, NM
Nurse Practitioner, Family in Clovis, New Mexico, registered in NPPES in April 2021. The authorized official on file is Lacey Meeks, Np/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093396160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2021 |
| Last updated in NPPES | Oct 5, 2021 |
| Certified by provider | Oct 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
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 (NM) |
|---|
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