Prescott Family Practice and Wellness, LLC
NPI 1265958755ActiveOrganization· Nurse Practitioner, Family· Prescott, AZ
Nurse Practitioner, Family in Prescott, Arizona, registered in NPPES in August 2017. The authorized official on file is Stephanie Diane Ten Eyck, NP, Owner.
Overview
| NPI | 1265958755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2017 |
| Last updated in NPPES | Aug 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP7670 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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