Mobile Visiting Practitioners, LLC
NPI 1265915359ActiveOrganization· Nurse Practitioner, Primary Care· Daytona Beach, FL
Nurse Practitioner, Primary Care in Daytona Beach, Florida, registered in NPPES in September 2018. The authorized official on file is Edward R. Kop, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265915359 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2018 |
| Last updated in NPPES | Nov 5, 2020 |
| Certified by provider | Nov 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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 (FL) |
|---|
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