Prestige Integrated Healthcare Solutions LLC
NPI 1124999453ActiveOrganization· Nurse Practitioner· Belleview, FL
Nurse Practitioner in Belleview, Florida, registered in NPPES in September 2025. The authorized official on file is Derek Bruner, Practice Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124999453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2025 |
| Last updated in NPPES | Sep 18, 2025 |
| Certified by provider | Sep 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other nurse practitioners in Belleview
- 1154006948
- 1568614303
- 1811514839
- 1922855295
- 1467972695
- 1437358496
- 1912317843