Mountain Mobile Wound Care
NPI 1114050481ActiveOrganization· Nurse Practitioner, Family· Missoula, MT
Nurse Practitioner, Family in Missoula, Montana, registered in NPPES in March 2007. The authorized official on file is John Kevin Beighle, FNP, DPM, Pres. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114050481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Jan 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Podiatrist | 213E00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Clinic/Center | 261Q00000X | — | — |
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 (MT) |
|---|
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