Bh Services Southeast 1 PC
NPI 1164251526ActiveOrganization· Nurse Practitioner· Brownsville, TN
Nurse Practitioner in Brownsville, Tennessee, registered in NPPES in August 2024. The authorized official on file is Sandra Bakerink, Director Of Provider Enrollment/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164251526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2024 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 (TN) |
|---|
Other nurse practitioners in Brownsville
- 1326632001
- 1184055345
- 1093306342
- 1063480416
- 1568886596