Phoenix Health & Wellness Nursing Corp
NPI 1295615094ActiveOrganization· Nurse Practitioner· Palm Desert, CA
Nurse Practitioner in Palm Desert, California, registered in NPPES in September 2025. The authorized official on file is Russell Simon, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295615094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2025 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 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 (CA) |
|---|
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