Shc Medical Partners of Illinois, LLC
NPI 1306523600ActiveOrganization· Nurse Practitioner· Rock Island, IL
Nurse Practitioner in Rock Island, Illinois, registered in NPPES in June 2023. The authorized official on file is Sarah Altstadt, Provider Enrollment Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306523600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2023 |
| Last updated in NPPES | Dec 22, 2023 |
| Certified by provider | Dec 22, 2023 |
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 (IL) |
|---|
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