Icp Oklahoma ACO Billing LLC
NPI 1255915427ActiveOrganization· Clinical Nurse Specialist· Tulsa, OK
Clinical Nurse Specialist in Tulsa, Oklahoma, registered in NPPES in May 2021. The authorized official on file is Ayasha Thomason, Authorized Official.
Overview
| NPI | 1255915427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2021 |
| Last updated in NPPES | May 12, 2021 |
| Certified by provider | May 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist Primary | 364S00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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