Indiemd Network LLC
NPI 1275256968ActiveOrganization· General Practice· Boerne, TX
General Practice in Boerne, Texas, registered in NPPES in September 2022. The authorized official on file is Jason Ryan Frazier, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275256968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Apr 6, 2023 |
| Certified by provider | Apr 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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