Advanced Medicine of the Ozarks, Ltd
NPI 1225786916ActiveOrganization· Nurse Practitioner, Family· Mountain Home, AR
Nurse Practitioner, Family in Mountain Home, Arkansas, registered in NPPES in March 2022. The authorized official on file is Tracie Gilliland, APRN, FNP-BC, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225786916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2022 |
| Last updated in NPPES | Mar 12, 2022 |
| Certified by provider | Mar 12, 2022 |
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 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 (AR) |
|---|
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