Community Care Health Network LLC
NPI 1154069763ActiveOrganization· Nurse Practitioner· Scottsdale, AZ
Nurse Practitioner in Scottsdale, Arizona, registered in NPPES in May 2022. The authorized official on file is Stephanie Peterson, Credentialing Ao.
Overview
| NPI | 1154069763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2022 |
| Last updated in NPPES | Sep 10, 2024 |
| Certified by provider | May 19, 2022 |
| Reactivated | Sep 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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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