Dovetail Pac Ri
NPI 1215795521ActiveOrganization· Nurse Practitioner, Family· Dedham, MA
Nurse Practitioner, Family in Dedham, Massachusetts, registered in NPPES in March 2024. The authorized official on file is India Michel, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215795521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2024 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 (RI) |
|---|
Other family nurse practitioners in Dedham
- 1336499532
- 1568013480
- 1003258658
- 1760720213
- 1821732868
- 1841852019
- 1114748019
- 1194208363
- 1134931157
- 1669890521
- 1942181920
- 1598502700
All 15 family nurse practitioners in Dedham · All family nurse practitioners in Massachusetts