Wa Foote Memorial Hospital, Inc
NPI 1124052279ActiveOrganization· Nurse Practitioner· Jackson, MI
Nurse Practitioner in Jackson, Michigan, registered in NPPES in July 2006, part of Wa Foote Memorial Hospital, Inc. The authorized official on file is Mark Smith, CFO, Svp, Cmo.
Overview
| NPI | 1124052279 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wa Foote Memorial Hospital, Inc |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Registered Nurse | 163W00000X | — | MI |
| Advanced Practice Midwife | 367A00000X | — | — |
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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