Changing Minds Medicine LLC
NPI 1205455961ActiveOrganization· Nurse Practitioner, Family· Henderson, NV
Nurse Practitioner, Family in Henderson, Nevada, registered in NPPES in April 2020. The authorized official on file is Jamie Brown, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205455961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2020 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
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 (NV) |
|---|
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