Elevate Medical Group PLLC
NPI 1285402040ActiveOrganization· Nurse Practitioner, Family· Mesa, AZ
Nurse Practitioner, Family in Mesa, Arizona, registered in NPPES in December 2023. The authorized official on file is Kimberly Dawn Lee, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285402040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2023 |
| Last updated in NPPES | Apr 1, 2024 |
| Certified by provider | Apr 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Nurse Practitioner, Family providers in Mesa
- 1154874030
- 1992153696
- 1912187121
- 1447050539
- 1740184605
- 1104738798
- 1154661148
- 1366854721
- 1205616398
- 1831462530
- 1316653579
- 1467173906