Core Med PLLC
NPI 1295590453ActiveOrganization· General Practice· Bentonville, AR
General Practice in Bentonville, Arkansas, registered in NPPES in February 2024. The authorized official on file is Ryan Hasenclever, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295590453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2024 |
| Last updated in NPPES | May 23, 2025 |
| Certified by provider | May 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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 (AR) |
|---|
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