Evernorth Care Providers - Delaware PA
NPI 1215675327ActiveOrganization· Internal Medicine· Rutland, VT
Internal Medicine in Rutland, Vermont, registered in NPPES in May 2022. The authorized official on file is Grace V. Blue, Credentialing Sr. Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215675327 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2022 |
| Last updated in NPPES | Feb 21, 2024 |
| Certified by provider | Feb 21, 2024 |
Specialties and licenses
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 (VT) |
|---|
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