Ikon Health, LLC
NPI 1275104143ActiveOrganization· Nurse Practitioner, Gerontology· North Potomac, MD
Nurse Practitioner, Gerontology in North Potomac, Maryland, registered in NPPES in July 2021. The authorized official on file is Jessica Abrams, CRNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1275104143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2021 |
| Last updated in NPPES | Nov 17, 2021 |
| Certified by provider | Nov 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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 (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
Other Nurse Practitioner, Gerontology providers in North Potomac
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