Clow Integrated Medical Center PA
NPI 1134961287ActiveOrganization· Nurse Practitioner· West Melbourne, FL
Nurse Practitioner in West Melbourne, Florida, registered in NPPES in June 2024, part of Space Coast Corporate Health Service P A. The authorized official on file is Rhonda Simpson, Patient Sevices. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134961287 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Space Coast Corporate Health Service P A |
| NPI issued | Jun 10, 2024 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Aug 20, 2024 |
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) |
|---|
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