Fifth Avenue Medical Group LLC
NPI 1124064019ActiveOrganization· Nurse Anesthetist, Certified Registered· Chambersburg, PA
Nurse Anesthetist, Certified Registered in Chambersburg, Pennsylvania, registered in NPPES in June 2006. The authorized official on file is Melanie Moats, Center Director.
Overview
| NPI | 1124064019 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2006 |
| Last updated in NPPES | Nov 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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