Peoples Community Clinic of Newberg LLC
NPI 1215486626ActiveOrganization· Nurse Practitioner, Family· Newberg, OR
Nurse Practitioner, Family in Newberg, Oregon, registered in NPPES in September 2016. The authorized official on file is Jacqueline Arielle Smith, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215486626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2016 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 201350039NP | OR |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 (OR) |
|---|
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