Hermitage Family Practice LLC
NPI 1245983030ActiveOrganization· Nurse Practitioner, Family· Hermitage, TN
Nurse Practitioner, Family in Hermitage, Tennessee, registered in NPPES in February 2022. The authorized official on file is Jill Welbern, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245983030 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2022 |
| Last updated in NPPES | Jun 29, 2023 |
| Certified by provider | Jun 29, 2023 |
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 (TN) |
|---|
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