Ea Nurse Practitioner in Adult Health PC
NPI 1194314427ActiveOrganization· Nurse Practitioner, Adult Health· Lido Beach, NY
Nurse Practitioner, Adult Health in Lido Beach, New York, registered in NPPES in January 2021. The authorized official on file is Olga Yushuvayeva, NP-C, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194314427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2021 |
| Last updated in NPPES | Jan 12, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Nurse Practitioner, Adult Health providers in Lido Beach
- 1013579614
All Nurse Practitioner, Adult Health providers in New York →