Enhanced Wellness of Oak Grove, PLLC
NPI 1154564920ActiveOrganization· Nurse Practitioner, Family· Hattiesburg, MS
Nurse Practitioner, Family in Hattiesburg, Mississippi, registered in NPPES in April 2009. The authorized official on file is Betty Laura Ryba, MSN FNP-BC, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154564920 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2009 |
| Last updated in NPPES | Nov 15, 2021 |
| Certified by provider | Nov 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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