Avanta Primary Care, P.C.
NPI 1104763861ActiveOrganization· Nurse Practitioner, Family· Horsham, PA
Nurse Practitioner, Family in Horsham, Pennsylvania, registered in NPPES in April 2026. The authorized official on file is Alena Blain, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104763861 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2026 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 (PA) |
|---|
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