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NPI 1285335265ActiveOrganization· Nurse Practitioner, Family· Westland, MI

Nurse Practitioner, Family in Westland, Michigan, registered in NPPES in March 2023. The authorized official on file is Frankie Allen Dejesus, Sr. Ops Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1285335265
StatusActive
Entity typeOrganization
NPI issuedMar 15, 2023
Last updated in NPPESJul 30, 2026
Certified by providerJul 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——
Emergency Medicine207P00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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